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� <br /> PtRMIT APPLICATIC�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, E�/ERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> �� ^ �o � l���e� �a7o - <br /> LEGAL LOT NO. �OC TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> ���� � rv P l�, l% ,c�;,� i ��,�`� �-�-��f���S� ��s--��;�- �S� <br /> TENA�E CONTACT FOR PERMIT PHONE <br /> ' � � � • E-MAI! � . <br /> NTRA T� R ADDRE I P ' <br /> S��L,c �� <br /> CONTR.LICENSE p � � � ' " ' • • • • I <br /> �i� . ,. , ��,. - , I <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> (f'���C�„( �����G�� __ElecUic !/ G s_Olher <br /> WORK DESCRIPTION <br /> � �l � �-%r/�oRT <br /> ,;�r"- ��• �-a'- "f'a�'``� <br /> �� n z�! /° �' z`� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Balhlub Forc:ed air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Cblhes washer Clolhes dryer <br /> V�'ater healer Range hood <br /> - Sink(servicelbadmop/etc.) Exhaust fan <br /> BackOow prevenler Heat pump <br /> Urinal Unit heater <br /> Drinking Founlain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify thal I have read and examined this applicalion and know Iho same to be lrue and correcL All provisions of laws and <br /> ordinaces governing lhis type of�vork will be complied wilh whelher specified herein or noL The granling of a permil does nol presume <br /> to give aulhorily to violale or cancel lho provision of any other slate or local law regulaling construction or the peAormance of <br /> construction. That I am aulhorized by the owner of this propeAy lo peAorm the work for which application is made and I comply with the <br /> Slale Contractors Law 18.27 R lN an 2J6.200,kV{�C. <br /> f <br /> ��f � I ,, �i I � <br /> _vv�-P �/n-�'"�-"'Gr � - ��g�-lJ <br /> Sic�naWr (Owner/Conlractor/Aulhonzed Agenl Oate � <br /> � Y I <br /> 1 <br />