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P�RMIT APPLICATION <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 � '—)��� 7 <br /> SITE ADDRESS PARCEL TAX I.D.# PER IT# <br /> � � �,�,��, �r�x�q aos�6�o avsoo � d -7� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER � ADDRE55 ,l CITY2IP PHONE�a�� G��� <br /> � �1 rr 4�.� <br /> lQ/ase _2�A�i/P�l` �;¢�°.��y� �l 9�ooi �wT C�oog <br /> NANTNAME � CONTACTFORPERMIT PHONE <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> CONTR.IICENSE N <br /> USE OF BUILDING � _ I HEAT SOURCE I CONTRACT PRICE OF WORK <br /> C����-C� �Q/'`,j �Electric _Gas_Olher <br /> WORK DESCRIPTION <br /> �� -r����' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel _ AIC-airhandlingunits <br /> Balhlub _ Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower _ Waler healer <br /> Kilchen sink&disposal _ Gas fireplace <br /> Dishwasher _ Gasrange <br /> Clolhes washer _ Clothes dryer <br /> Water heater Rango hood <br /> Sink(service/bar/mop/elcJ _ Exhausl(an � �C� <br /> Backflow prevenler _ Heal pump � �� <br /> Urinal _ Unil heater <br /> —IDrinkinc� Fountain Boiler <br /> Flcor drain _ Refrigeralion <br /> Grease lrap _ Woodslove <br /> � Roof drains _ Olher <br /> � Other — <br /> CITY OF FVERETT LOCAL SALES TAX CODE IS J105 <br /> I heroby ceritify thal I have read and examined this application and know the samo lo be lrue a�d corrocL All provisions of laws and <br /> ordinaces c�overning lhis lype of work will be complied with�vhelher specified herein or not.The granling of a permit does not presume <br /> to give authority to vioiate or cancel the provision of any other slate or local law regulaUng conslruction or the perfomiance o( <br /> conslructinn.Thal I a:n authorized by tho owner of Ihis properly lo pertorm lho work(or which application is made and I compiy with the <br /> State C t����8.27 RCW and 296.200 WAC. <br /> ! ' ��/�f/�� <br /> SignaWr of OwnedContractorlAuthonzed Agenl 'TD�ate� <br />