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F `RMIT APP�.ICATIvN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, 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.it PERMIT# <br /> Gr� �� ,. , L✓,� . o�3Z�D ,� d ��� /C�7/— i <br /> LEGAI. LOT N0. BLOCK TRACT OR SUBDIVISION� <br /> DESG I <br /> OWNER ADDRESS CITYIZIP PHONE I <br /> ;7 `/7T- 4�7- Z <br /> � �r� �1 ' �Intre�' ?/o(' �cae ci �cn� /�c EV'"�L�cit �j'PwF LT <br /> TC-NANT NAME I CONTACT FOR PERMIT PHONE <br /> �'�� � E-MAIL <br /> CONTRACTOR ___�� � ,s ADDRE CITYIZIP PHONE <br /> fT�2TJ���'..� <br /> CONTR. LICENSE# �� �/ �j ��' <br /> L l/ I <br /> USE OF BUILDING I HEAT SOURCE I CONTRACT PRICE OF WORK <br /> 0 oF,eu- ���e w�c _Electric _Gas Olher �`/�J'�- I <br /> WORK DESCRIPTION . � <br /> , �, <br /> ����� ,���.���� - ,�/l� �'/ � t��.2_»«� �i <br /> i �� � <br /> PLUMBING • MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> -I �oilel � _ aC-air handling units <br /> _ r, Bath�ub _ Forced air systeins <br /> � Lavalory (wash basin) . = Gas piping I <br /> Shower Waler healer <br /> � Kitchen sink 8 disposal Gas fireplace <br /> ��, Dishwasher _ Gas range <br /> � Ihes washer _ Clothes dryer I <br /> � ter healer _ Range hocd <br />.� ink(service/bar/mop/etc.) _ Exhaust fan <br /> ackflow prevenler _ Heal pump <br /> t Urinal _ Unit heater <br /> Drinking Founlain _ Boiler <br /> Floor drain _ Refrigeralion <br /> \ Greasetrap _ Nloodslove <br /> � Roof drains _ Olher <br /> � — <br /> Olher — <br /> - CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br /> I hereby certi(y ihat I have read and examined�his applicalion and know the same to be lrue and correct. All provisions of laws and <br /> ordinances governing this type of work will be complied with whelher specifed herein or not. The granling of a permil does not presume <br /> lo give au�horily to violate or cancel Ihe provision of any olher slale or Iocal law regulating construction or the performance of <br /> construction.Tha� I am au�horized by the owner of this property lo periorm the work for which app�icalion is made and I comply with the <br /> Slale Coniraclors Law 18.27 RCW and 296.200 WAC. <br /> � �� � / �- �/$la��b <br /> Si iaWre of OwnedContraclodAu�honzed Agenl Dale <br /> � <br /> I _--- -- - - — _ _ _ - -- ---- -- ------------ <br /> -- <br />