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t <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8�157—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADORESS �/J/L` �_1„rC� I1j�p � _ PAR�CEL T��# OI — �O� PERMIT M <br /> �C yC1 11��, ;✓ � <br /> .in�r� <br /> LEGA LOT NO. BLOCK T CT � <br /> DESQ ( 606 �VaicD(S 3r'� i1�loE�lu'l �' 12.0 OFlPdG3�(� <br /> ONMER ADDRESS CITYZP PHONE �` I <br /> L�'.�►� VhanU�ddVrino� 2339 �I� A�e�sr Se�tt(e ,9Bt� 790 -5525 <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> Cv�eS`�D2►�ce ��o I t�Y►1 Soh��lb 206 ?A�!-7�77 <br /> CONTRACTOR ��� ADDRESS CITYZP PHONE <br /> CONTR.LICENSE/ ��"�'G � O�v <br /> U OF BUILQING r ' / — HEAT SOURCE I CON1TRACT PRICE OF WORK <br /> J r„��'„"'"1 `� ;��� I Electric _Gas ^ Olher T � �� <br /> \ <br /> WORK DESCRIPTION <br /> %,���ti���,n�� 1►�������'cven,ch� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIxTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel AIC—air handling units <br /> Bathtub Forced air systems <br /> _ Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer ,_ Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(servicelbadmopletc.) Exhausl tan <br /> Badcflowpreventer ,_ Heatpump <br /> Unnal Unit heater <br /> _ Drinking Fountain Boiler <br /> Floor drain _ Refrigeration <br /> Grcase trap _ Woodstove <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7106 <br /> I hereby ceritiry that I have read and examined lhis application and know the same to be lrue and correcl. All provisions of laws and <br /> ordinaces goveming this type of work vvill be complied wilh whether speafied herein or not.The grant�ng of a pertnit dces nol presume <br /> lo give authorily to violale or cancel lhe provision of any other state or local law mgulaling construdion or the performance of <br /> construction That I am authorized by lhe owner of this property to perfortn the work(ar which application is made and I comply with the <br /> State Contra La 827 RCW and 296.200 WAC. <br /> �\/ ��� � —( d' —0� <br /> �iSignature o erlCont2ctoNAu onzed Agent Date <br /> � I�� <br />