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� <br /> I�ERIV�IT APPLICATIVN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE7, 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 ADD�C S C�t y�Z"� � �I"�• PARCEL TAX I.D.# P RMIT# <br /> L�o �- I <br /> LEGA lOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER � A�DRESS CITY2IP PHONE <br /> `�.�1u�n 'JSv�� I�1Z�: Vk�w�.•• �'u�. �%�- �-tvt�,e yl�sz9�{ <br /> TENANT NAME CONT C�T FOR PERMIT PHONE <br /> '���,..;�.-� C���Y.t. s ��avr, �v��t� +-�Zs �11 � SZQr �-1 <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> S� 1� <br /> CONTR.LICENSE# <br /> USE OF BUIL�ING NEAT SOURCE CONTRACT PRICE OF WORK <br /> '��� _Electric _Gas_Other <br /> WORK DESCRIPTION - <br /> .1��� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air handling units <br /> Bathtub Forced air syslems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kilchen sink 8 disposal Gas(ireplace <br /> Dishwasher Gasrange <br /> Clolhes washer Clolhes dryer <br /> Water healer Range hood <br /> Sink(service/bar/mop/etc.) Exhausl fan <br /> Backflow prevenler Heat pump <br /> Urinal Unit healer <br /> Drinking Fountain Boiler <br /> Floor drain Ro(rigeralion <br /> Grease lrap Woodstove <br /> Roo(drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TA7(CODE IS 3105 <br /> I hereby cerili(y Ihal I have read and examined Ihis applicalion and know lho same to be true and correct. AII provisions oi laws and <br /> ordinaces goveming this type of work will bo complied wilh whether specified herein or noL The granting of a permit does nol presume <br /> lo give aulhority lo violale or cancel the provision of any olher state or local law regulating construction or the pertormanr.e of <br /> construclion.Sh t I am aulhorized by lhe owner of lhis property to periorm the work(or which application is made and I wmply wilh the <br /> Stale Contraclo��Law 1827J2CW and 296.200 WAC. <br /> � � �r� �_ S���U � <br /> Signat o'f O�eNConl ctor ulhorized Ac�ent Date <br />