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PERMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-v✓ww.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM "� �- l�{�--�6 <br /> SITE ADDRESS PARCEL TAX I.D. # PERMIT# <br /> ;�0 7 -.7-�,�lz ��� e rno� ��- c�5_ <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNcR I ADDRE55 CITYIZIP PHONE <br /> ��>�/lGL ��� ��c7wti � ZJ7 fGC�r �� ✓C L vCr� � y�c�v/ �/�� -�G�-���'� <br /> TENANT NAME CONTACT FOR PERMIT PHONE I <br /> CONTRACTOR ADDRESS CITY/ZIP PHONE <br /> CONTR.LICENSE tJ /�� f�� � <br /> v <br /> USE OF BUIL07NG HEAT SOURCE CONTRACT PRICE OF WORK <br /> �.f��Y��� � �Eleclric _Gas_Olher I <br /> WORK DESCRIPTION I <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUR[OR ITEM NO. NPE OF FIXTURE OR�TEM <br /> Toilel PJC-air handling unils <br /> Balhlub Forced air syslems <br /> _ Lavalory(wash basin) � Gas pipiny � <br /> Shower Water heater <br /> I<ilchen sink&disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes wash�r Clo!hes dryer <br /> ; Waler healer Rang�hood <br /> Sink(service/bar/mop/etc.) Exhausl tan <br /> I _ Backflow prevenler _ Heat pump <br /> Urinal Unit heater <br /> Drinkinj Founlain Boiler <br /> i Floor drain Refrigeration <br /> � _ Grease trap _ Woodstove <br /> � _ Roof drains _ Olher <br /> '� i = Olher — _ <br /> ICITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> � I, i �hereby ceriti(y thal I have read and examined Ihis application and know the same to be true and correr.l. All provisions of laws and <br /> ordinaces governinc� this lype of work will be complied with whelher speci(ied here.in or noL The granling of a permit does not presume I� <br /> to give aulhority to violate or canccl Ihe provision of any olher stale or local law regulating conscruction or the pedormance of <br /> � I conslruction.That I am authorized by lhe owner of lhis property to perform the work for which application is made and I comply wilh the <br /> � Slal Contraclors Law�18.2 CW and 296.200 WAC. <br /> IVaig��A A�(� /V( ��-L`^--- 7- /`/ - �1� <br /> � ure ot wnedContrador/Authorized Agenl Dale <br /> I <br /> � <br />