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P�RMIT APPLICATIO�� � <br /> CITY OF E�/ERETT PERMIT SERVICES <br /> 3200 CEDAR S'�REET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —wvnv.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 P�d �'�(�; J �U ] '%�j i <br /> SITE ADDRESS PARCEL TAX I.D.# � PERMIT# �--- � <br /> � ^ � � �.��. �. , ��� �-; i-i �� 37�37 �OZ (�C� �.! ��70�7- Z1 � �� <br /> LEGAL ' LOTNO. BLOCK TRACT -__.� <br /> oesc.� r- ,^ ;: ,liir�r-�j ;" 1 "i "��H'r �rr DI✓. �S CA7 aF i�LK �7! -t��'�iJ <br /> OWNER A�DRESS CITYIZIP PHONE <br /> �,�� _ ' - � I � I a No rr ,.}�,r ��E�F��Jri >�%�r '/Zs- ts�.31o� <br /> ; i���' ��f' Ir. f- 7 � <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �(1'I A 71- I.f�v✓L-�S S ��L �"Z S �' ��C� � <br /> CONTRACTOR ADDRESS CIN21P PHONE <br /> CONTR.LICENSE# /���'/{ <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICG OF WORK <br /> ` -� 1 Z, ���� <br /> `I �. , !, ,� -, ;� ; (.-r _Electric _Gas_Other <br /> WORKDESCRIPTION /'� ��;,i �� ;� i.� � ? �,+,-�J )i� c',-`I � , ... ' DE T h GI��U GA'��-E7L <br /> PLUMBING MECHANICAL i <br /> ry'p, TYPE OF FIXTUR[OR ITEM NO. TYPE OF FIXTURE OR ITEM I <br /> Toilel A/C-air handling units <br /> Balhlub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower W ater healer <br /> Kilchen sink&disposal _ Gas fireplace <br /> Dishwasher _ Gas rangc <br /> Clothes vrasher _ Cblhes dryer <br /> Water heater _ Ranc�e hood <br />- Sink(serviceNadmop/elcJ _ Exhaust tan <br /> Backflow preventer _ Heat pump � <br /> � _ Urinal _ Unit healer <br /> Drinking Fountain Boi�er <br /> Floor drain _ Refrigeralion <br /> Grease trap _ Woodslovo <br /> I _ Roof drains _ Olher <br /> Olher — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> ,� I hereby cerilify lhat I have read and examined lhis applicstion and know lhe same lo be truo and wrrecL All provisions of laws and <br /> ordinaces governing this type o(work will bo complied with whether specified herein or noL The c�ranting of a permit does not presume <br /> to givo authonty to violate or cancel the provision of any other slale or local law regulating construction or the perionnance of <br /> consiruclion.Thal I am authorized by tho owner of this property to pedorm lho work for which application is made and I comply with lhe <br /> Stale Contradors Law 18.27 RCW and 29�200 WAC. <br /> ������,ji< 7�� <br /> �� S�qnature o( wnerlG�ntraclorlAuthonzed Agent— Da e — — - �/, <br /> � <br />