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` ��RMIT APPLICATIvnI <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE7T, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DE61T 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> t� �Q� S4�- / � <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> �/ L"/f!/P� <br /> TENANT NAME I �Zf ACT FOfj,P�`/T PHONE <br /> %�� �/�s--a/o 3SS'/ <br /> CONTRA�7G^ // � A SS CITYry P PHONE <br /> .�/�'rci�r _G»lr.�/i� C�'.�P aU�// /S��A�e s�- �r�.GC�s� i/�s 3.i'S"-y6� <br /> COr�rs LICENSE N <br /> /4/'�G`�SCOS'7� <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> �� r � Electric Gas Other ��Y�C� <br /> /T� 'T�`"iry/ — — — g <br /> WORK DESCRIP ION / � ,( /� �� <br /> ��/�,% ,�v �Or/yE/� ���9� �.� t�+5'//� �crsSc= �/H� �'esrlt'/r/P�'" .�� .t/u(T/F <br /> ��i� ��,(����s <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ Toilet A/C—air handling unils <br /> _ Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> _ Dishwasher Gas range <br /> _ Clothes washer Clolhes dryer <br /> Laundry trey Range hood <br /> Sink(service/badmop/atc.) Exhaust fan <br /> Backflow prevenler Heal pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> � = Grease lrap = Woodslove <br /> Roo(drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinaces governing Ihis type of work will be complied wilh whether specified herein or not.The granling of a permit does not presume <br /> lo give aulhorily lo violato or cancel tho provision of any other state o�local law regulaling conslructien or the aeAormance of <br /> conslru 'on.Thal I am authori ed by the owner of lhis property lo perform lhe work for which applicalion is made and I comply wilh fhe <br /> Slale lraclor w 18�CW and 296.200 WAC. <br /> z_ ���� � <br /> Signa u ( wnedConlractodAulhurized Agenl Dale �/ <br />