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PERMIT APPLiCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERtTT, WA 98201 � ���`-�'�' <br /> 4'25-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED �ROM 8 AM TO 4 PM �C�U/��J <br /> SITE ADDRESS PARCEL TAX I.D.# %��MIT# l G <br /> `i I� ..�., a.Z l�'Je.. <br /> -L.EGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE55 CITY21? PHONE <br /> ��..�,'2 �1'�So I`11S' (.,+ ....�a.�/�f/C. Fvere�; G.��l r1b'Zol � �ri39� <br /> TENAN�NAME CONTACT FOR PERMfI' PHONE <br /> CONTRACTOR ADDRESS CITY2IP PHONF_ <br /> CONTR.LICENSE# <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ���1 _ Electric _Gas_Qlher /�� " <br /> � <br /> WORKDESCRIPTION (�r�c„��n5 �jG� �u•••_ •�•�Z c.Cr� i.��u M�f�t✓ hG��u�^�.. y�..:J-t �,.,��L <br /> �i+ S�Yt_ <br /> PLUMBING MECHANICAL <br /> NO. TYf-E OF FIXTURE OR ITEM NO. TYP[OF FIXTURE QR ITEM <br /> 1 Toilel _ aC—air handling units <br /> 1 8alhtub _ Forced air syslems <br /> I Lavatory(wash basin) _ Gas piping <br /> Shower Water healer <br /> Kitcher.sink 8 di=posal _ Gas fireplac� <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(service/badmop!etc.) 1_ Exhausl fan <br /> Backflow prevenler Heat pump <br /> Urinal Unit healer <br /> Drinlcing Founlain _ Boile� <br /> Floor drain Refmyeretion <br /> Grease trap _ Woodslove <br /> Roof drains Olher <br /> Olher <br /> CIIY OF EVE�ETT LOCAL SALES TAX COOE IS 7105 <br /> I hereby ceritify lhat I have read and examined this application and know lhe same lo be true and correcL All provisions of laws and <br /> ordinaces governing this rype of work will be complied wilh whether speci(ied herein or noL The granting of a permit does not presume <br /> lo give aulhor,ry lo violale or canc�\the provision of any olher state or local law regulaling:onstruction or the per(ormance of <br /> consiruclion.That I am aythorized r lf)e owner of this property to perform lhe work for which application is made and I comply with the <br /> State Contraclors Law 1R27 f�C,b'y� d 296.200 WAC. <br /> V i�L <br /> ��, <br /> naWre of Own� lodAuthorized Agent Dale �� <br /> Z <br /> i __. <br />