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; <br /> PERMIT APPLICATIUN pW'��G� <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 6 — � ��O� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMI�# <br /> �6'zs c-� «^� �F✓r,rvuF 2�ov3joo voo saa � .�v� - U���Z <br /> LEGAL LOT N0. BLOCK TRACT OR SUBDIVISION p <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> p��v4 r���r�� t� �03 � Prr� 5v,�F G�3 s�r-�cc �s�� zz <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> ��a��y rf r �-'n�✓'4 �',- I ��„� z o� . 7�o, �`�3� <br /> � E-MAIL �-)rT0/Y(7(� RUc.Ct�y <br /> NTRA TbR - n S � � P <br /> CONTR.LICENSE# ��J�� �� ���� <br /> V � <br /> USE OF BUILDING HEAT SOURCE I CONTR CT PRICE OF WORK <br /> '�L �`� , oov <br /> 2c 5���'�� _Electric �Gas_Olher � Z <br /> WORK DESCRIPTION ,/� <br /> �} ��D G�it � /�J J :% >7�,��Z <br /> L,��D :� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE O�FIXTURE OR ITEM <br /> Z7 Toilel A/C—air handling unils <br /> �- Balhlub �- Forced air systems <br /> � Lavatory(wash basin) �� Gas piping <br /> / Shower T Water heater <br /> / Kilchen sink 8 disposai �— Gas fireplace <br /> T Dishwasher � Gasrange <br /> L Clolhes washer / Clothes dryer <br /> =r� Waten c�aler �_ Range hood <br /> � Sink(service/badmop/elc.) � Exhaust(an <br /> Backfiow prevenler Heat pump <br /> � Urinal �b. Unit healer <br /> Drinking Fountain c�� Boiler <br /> Floordrain �- Refrigeralion <br /> �_ Grease trap � Woodslove <br /> � Roof drains = Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerilify lhal I have read and examined this applicalion ar.d know lhe same to be true and correcl. All provisions o(laws and <br /> ordinaces governing lhis type of vtork will be complied wilh whelher speci(ied herein or noL The granting of a permil does not presum� <br /> lo give authorily to violal or"cance�he prov (bn o(any olher slale or local law rec�ulating construction or Ihe peAormance ol <br /> consl uclion- iat a ulhorized,by lhe vner o(lhis properly to perform Ihe work for which applicalion is made and 1 comply wilh ihe <br /> Slate, �tractors Law'1 .27 RCN' and P96.200 WAC/- <br /> � � � f� G`" /��' d •3GG D,� <br /> � <br /> SignaWro of Owner/Cg raclod Ihoriz 'Agenl Dato <br /> ` /J <br />