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I-ERMIT APPLICRTIvN <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 L 3 Z PARCEL TAX I.D.# PERMIT# <br /> ,'�'-� Lo�'�8��'�� mcYO%- Oz�- <br /> LEGAL LOT NO. B OCK r,� TRACT OR SUBDIVISION# <br /> DESC. ��7 l�� <br /> OWNER ADDRESS CITYIZIP PHONE <br /> j,�i���n/ C�rtt/,�%� cru�c� C.,�i-��� ��S-S�2 �i6�1 <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> ��� 1t����'�;— 2d�s wcas�ti'� P� �A,�9�� y 3�?oy <br /> CO RACTOR ADDRESS INIZIP PHO E <br /> CONTR. LICENSE# �.y� / {i� �-1 ��L1� U <br /> / � ! 1 � ! / <br /> USE OF BUILDING HEAT SOURGc CONTRACT PRIC�OF WORK <br /> C�U�CN' _Eleclric �Gas_Other /yd� H <br /> WORK DESCRIPTION /`� / I�J }+— ��� /L/p- <br /> V �/i��, i�/�� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C–air handling units <br /> Bathlub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Sho�ver Waler heater <br /> Kilclien sink 8 disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clolhes dryer <br /> Water healer Range hood <br />' Sink(scrvice/bar/mop/etc.) _ Exhausl fan <br /> Back(low prevenler _ Heal pump <br /> t hinal Unit htater <br /> Drinking Fountain Boiler <br /> Floor drein Refrigeration <br /> Grease lrap Woodslove <br /> Roo(drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> I hereby ceritify lhat I have read and examined lhis application and know lhe same to be lrue and correcl. Ali provisions of laws and <br /> ordinaces c�overning this type of work will be complied with whelher specified herein or nol The granting of a permit dees nol presume <br /> to give aulhority lo violatc or cancel lhE,provisi m of any olher stale or local law regula;inq construclion or the performance ef <br /> conslruclion.That I am authorized by lhe owner of this property lo periorm lhe work for which application is made and I comply with lhe <br /> State Contracto�s Law 18.27 RCW an�96.200 WAC. <br /> C� : ��,�. , _ �� -a <br /> SignaWre o(OwnedCo ractor/Authurized Agen �uete � <br /> � I <br /> � <br />