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( <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-25'!-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS � PARCEL TAX I.D.N PERMIT II <br /> avaL� „a�� ; o0 3 �� ��- �i dd s-c - <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> ��S� � � �� <br /> TENANT NAME C�JNTACT FOR PyRM1T PHONE <br /> CONTNACTOR ADDRESS CITY2IP PNONE <br /> CONTR.UCENSE fl (/ �"��-� <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Sr'� Electric Gas Other <br /> WORK DESCRIPTION <br /> y�/h D <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXiUFE OR ITEM <br /> Toilel FVC—air handling units <br /> Bathtub Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Water healer <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clolhes dryer <br /> Water heater Range hood <br /> Sink(service/barhnopfetcJ Exhaust fan <br /> BackOow prevenler Heat pump <br /> Unnal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease irap Woodstove <br /> Roof drains Other <br /> OUier <br /> CITY OF F.VERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby ceritity thal I have read and examined Ihis application and know ihe same lo be true and correcl. All provisions ot laws and <br /> urdinaces goveming this typo ot work will be complied with whnther specifled herein or not The granting ot a pertnit does nol presume <br /> 1�give aulhority to vioiale or cancei the provision o(any other state or local law regulating construction or the pertormance of <br /> construction.Thal I am aulhorized by the owner ot lhis property lo perform lhe work tor which application is made and I comply with the <br /> State Co rs Law 1 27 C nd 296.200 WAC. <br /> ���+wl il/. ���ti�s+�ni s/��!D,� <br /> SignaWre ot Owne ontractodAuthonzed Agenl Dale � <br /> /� / <br />