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P�RMIT APPLICATI�N <br /> ClTY OF EVERET7 PERMlT �EaVICES <br /> 3200 CEDAR STREET, E.VERETT, WA 93201 �0 --O �E—�b S <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> i7 � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �.,,` �, �� - �� <br /> SITE ADDRESS ! PARCEL TAX L0.# PERMIT# <br /> Il 5-E l� 1 �C��=�f't <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> �+-����.�k �'c�r�-��a�e,� _ <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �e� C� �n �/I1�'1 <br /> CONTRACTOR ADDRESS CITY2IP PFIONE ��_�r 1_u{, <br /> 5�, ��n Cs�(�, � �t �-ry �3�5 i3o�`"�^-�v � � 1 a-� � <br /> CONTR.LICENSE# 1 " � � e' � '-�+'�I�QVw�jl��/!7 / �,��/� <br /> 5"9l�E�AC��iQ�S1�i S�"2 v�UO <br /> USE OF BUILDING HEAT SOURCE CO T�CE OF WORK <br /> f�, �-QA( _Eleclric _Gas_Other �%;G '— <br /> t � <br /> WORK DESCRIPTION �---- <br /> �-� g►� �y Shelv;� <br /> PLUMBING MECHANiCAL <br /> NO. NPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C–air handling unils <br /> BathWb Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower W ater healer <br /> Kitchen sink&disposal Gas freplace <br /> Dishwasher Gasrange <br /> Clothes washer Cblhes dryer <br /> Laundry tray Range hood <br /> Sink(servicelbar/mop/elc.) Exhausl(an <br /> Backflow preventer Heal pump <br /> Urinal Unil heater <br /> Drinkiny Fuunlain Boiler <br /> ! Floor drain Re(rigeralion <br /> � Grease trap Woodstove <br /> Roo(drsins Olher <br /> Other <br /> —i — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ceritify that I have read and ezamined this applir,ation and know ihe same lo be true and correct All previsions of laws and <br /> ordinaces goveming this rype of work will be complied with whelher specified herein or not The granting of a permit does not presume <br /> to give authority lo violale or cancel the provision of any�olher state or Iocal law regulating consWction or the periormance of <br /> consUuction.That I am authorized by lhe owner of this properiy to per(orm the work for which applicalion is made and I comply wilh the <br /> Stale Conlractors Law 18.27 RCW and 296200 WAC. <br /> SignaWre of OwnedConlraclodAulhorized Agent Date � <br /> �lti <br /> I� <br />