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c <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �/ —/(.��.Q 7 <br /> SITE ADDRESS PARCEL TAX I.D.N PERWT 1 <br /> i��o �vC:�;�� �.,� P o� � r -c �� <br /> LEGA LOTNO. BLOCK TRACTORSUBDIVISIONi <br /> DESC. <br /> OWNER ADD ESS GTY P P <br /> TENANTNMAE COHfACTFORPERMR PMONE yzS.�2Y1.��y� <br /> �-��7y'.�'��.{ ''��� M• I I a'-!' E�MINL M:IIrrM[ct�(o%�,iY�;Grl.,vc 1- <br /> Z`bATR7i� —A�bAES �—� yzs�53o�,gyo <br /> M��Idr' r'�eG�W�ti��ir�c_� /r/�.Z`1 /5�'l, �:X. 5E �,:Fa lez-g <br /> CONTR.UCENSE� M•II C!'ecK, 1.�1� �dv�� <br /> M�llenr������Dc� <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> Electric _Gas_Other � ��%U �O <br /> WORK DESCRIPTION <br /> -lM:� c..i • C%•�.�.s� 1.a�e�c � 5 bo <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF flXTURE OR ITEM NO. TVPE OF Fl%TURE OR ITEM <br /> Toilet NC–ai�handling units <br /> Bathtub Forced air systems <br /> Lavarory(wash basin) _ Gas pipng <br /> Showor Water heater <br /> _ Kitchen sink 8 disposal _ Gas lireplace <br /> Dishwasher _ Gasrange <br /> C;lothes waslier Clothes dryer <br /> Water heater Range hood <br /> Sink(service�barlmop/etc.) _ Exhaust lan <br /> Backflow preventer _ Heat pump <br /> Urinal Unil heater <br /> __ Drinking Fountain _ Boiler <br /> Fioor drain Reingeration <br /> _L Grease Uap _ Woods�ove <br /> Roof drains . Other <br /> Other _ <br /> CITY OF EVEflETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby ceritify that I have read and examined this application and know ihe same to be irue and correcL All provisions o1 Iaws and <br /> urdinaces floverning this type ol work will be complied with whether specilied herein or not The granting ot a permit dces not presume <br /> to give aulhodty�o violate or cancel ihe provision ol any other s�ale or local law regulating construcfion or�he pedortnance ol <br /> consWclion.�That I m authorized by the ovmar ol Ihis property to pedorm the work lor which application is made and I compiy with the <br /> State Conlractors� 18 7 W and 296.200 WAC. <br /> ��,��F <br /> , ���:.� -� i��/� <br /> Si�na��Col er/Conlractor/AulhonzedAgenl � at�e — <br />