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P�RMIT APPLICATIL��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 <br /> SITE ADDRESS �� /i PARCEL TAX I.D.# ����� <br /> :� 1 l �, � i <br /> )/,' � ��i' i- %"� / ^ —/ <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION k <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> / � � ��O�C <br /> , � �f� <br /> �Ll'��('_�l.�C� � � /� 3�� ,�t .�/a� s �� ���. ;3��>/,,, �'l h!� �l� ��,� �� <br /> TENANT NAME CONTACT FOR PERMIT PHONE T E���f <br /> E-MAIL <br /> CONTRACTOR ADDRESS CITY/ZIP PHONE <br /> CONTR.UCENSE# � � �Ay�� -7 <br /> ��W� � � � <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Electric Gas Olher <br /> WORKDESCRIPTION MO��t T�)� �ti � � � ,A`'`'/'p� � Su��'��1 /0 JO� .Ce � <br /> %�Y o�'� ,�n'7�� Tw/� ,a��nr� ?' S �,����� 70 �C-7l� %w� g- Q/'���,t,' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> `' Toilel A/C—air handling units <br /> ~' Balhlub Forced air syslems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower VVater healer <br /> Kilchen sink& disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Cbthes washer Cblhes dryer <br /> Water heater Range hood <br /> Sink(service/bar/mop/etc.) _ Exhaust fan <br /> Back(low preventer _ Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floar drain Refrigeration <br /> Grease trap _ Woodstove <br /> Roo(drains _ Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3'105 <br /> I hereby cerilify lhal I have read and examined this application and know the same lo be true and correcl All provisions of laws and <br /> ordinaces governing this type oF work will be complied wilh whether specified herein or noL The grantiny of a permit does nol presume <br /> to give aulhority to violale or cancel the provision o(any olher stale or local law regulatin�construction or lhe performance of <br /> construclion.Thal I am authorized by the owner of this properly to pertorm lhe woik for which application is made and I comply with the <br /> Slate Contraclors Law 18.7.7 RCW and 296.200 WAC. <br /> / <br /> , ��,, T; ��'-J "1- �� c <br /> ;_. <br /> Sic�nature�o(Ow � dConfractor A thorized Agent Date <br />