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��RMIT APPLICATIO��I <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 � � �)(�� `� g <br /> SITE ADD ES PARCEL TAX I.D.p PERMIT <br /> 3 `��� � �s� �Q,v� �01� ��ssq sao� ,�2 /7 <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION k <br /> DESC. <br /> OWNER ADDRE55 CITY/ZIP PHONE <br /> , ,�o �l�t= z59-3�� <br /> TENANT N / CONTACT FOR PERMIT PHONE <br /> .�,�] ,t �� �f/�'f'jL ��J /� /� ' � c'//-2s-Z���Y-v <br /> �0/Lti ��tL�t- L�'�''-''`v"- . l W�-�� ��f/J'�_' E-MAIL <br /> C NTR CT R G�:�P � G .l''`t � S�'(/ �1/�V 7 / IZIP PIION z��`! �6�- <br /> J �I` Ly,fl2(.✓0��yb � �s'6�' <br /> CONTR. LICENSE# �f�%L�/���j�( O�'7� �— <br /> �4J �-� <br /> USE OF BUILDING NEAT SOURCE CONTRAC/T-�PRI nE OF WORK <br /> �`Q(l <br /> C,�-m�w� _,Electric �Gas_Other <br /> WORKDESCRIPTION l�.�,� �;c,4�y , `' f� �.r'�1 P� �� �� �'�� <br /> � i- � ( <br /> PLUMBING MECHANICAL . <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FI%TURE OR ITE�7 <br /> Toilel A/C-air handling unils <br /> 6athtub Forced air systems <br /> Lavalory(wash basin) � Gas piping <br /> Shower W aler healer <br /> I<itchen sink 8 disposal _ Gas(ireplace <br /> Dishwashcr Gas ranpe <br /> Clolhes washer Clc:hes dryer <br /> Walcr healer Rango hrod <br /> Sink(service/badmop/etc.) _ Exhaust fan <br /> 3ackfbw preventer _ Heat pump <br /> Urinal Unil heater <br /> Drinking Founlain _ Boiier <br /> Floor drain Re(rigeration <br /> Grease trap _ Woodslove <br /> Roof drains _ Olher_ <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerility Ihal I havo read and examined lhis applicalion and know Iho same to be Irue and correcl All provisions o(laws and <br /> ordinaces governing lhis type of H�ork will be complied wilh� hether speci(ied herein or noL The granting of a permit does not presume <br /> to give aulhoriry to violate or c2ncel the provision o(any other slale or local law regulating construclion or 1he performance of <br /> wnstru�tion.Thal I am aulhorized by the owner of lhis propeAy lo perform lhe work tor which application is made and 1 comply wilh Ihe <br /> Slale�o Gactors�aw 1 .27 RCW and 296.200 WAC. / <br /> � <br /> ���� ,�a�C'���� / z/ � <br /> CSignature ot wnedConlraclor/Aulhorized A9enl Dalc <br />