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F�cRMIT APPLICATIUN <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 PARCEL I.D.N P MIT A� <br /> 0 i AU� L,l�rt G� 3� �� /��''� Z ' � <br /> LEGAL LOT NO. B�.00K TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PNONE <br /> �,1���rf z�l� r-��1t�R 2020 1��rr Ai��. �Jr�erT 5820( <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> �LJc-�tcQS T�nM hrD�� 1�Ml�L bc�loa/6J�u �¢uk. 425- 2s9'0$!vB <br /> CONTRACTOR =----"– ADDRESS ------- ._ C�TY21P PNONE <br /> /� ��IL�"� � . <br /> CONTR.LICE�SE K V� �I _ I� 0'1 � � <br /> \ � <br /> USE OF BUILDING�'----------— —HEAT SOl1R�__ ----=� CONTRACT PRICE OF WORK <br /> 6E11FIL� I —Electric _Gas_Olher �i2�j, Upp. <br /> WORKDESCRIPTION r��vJi' iMrROVEMEl�� � <br /> �ILD � wAu.. To PRWioE MoR� biSqu+J ��a ,�1� �tilS�tC. � <br /> 'I / <br /> r0 t-�A�� �7�i�- r�+��S GAJT'�ol— • <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilet AIC–air handling units <br /> Balhtub Forced air systems <br /> _ Lavalory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer _ Clothes dryer <br /> Waler heater Range hood <br /> Sink(service/badmop/etcJ Exhausl fan <br /> Backflow preventer _ Heal pump <br /> Urinal Unit heater <br /> _ Drinking Founlain Boiler <br /> Floor drain Refrigeralion <br /> Grease lrap _ Woodslove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify Ihat I have read and examined lhis application and know the same to be true and cortect. All provisions of laws and <br /> ordinaces governing lhis type of work will be compiied wilh whelher specified herein or nol.The granting oi a pertnit does not presume <br /> to give authoriry to vioiate or cancel the provision of any other slate or local law regulating wnstruction or the peAortnance of <br /> conslruction.That I m authorized by the owner oi this property to peAortn lhe work for which application is made and I comply with lhe <br /> State Cont[ ors aw 18.27 RCW and 296200 WAC. <br /> z- i- n�- <br /> Signat o wned onlraclor/Aulhorized Agent Dale <br /> '�Z <br />