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I <br /> PERMIT APPLICATIO�V <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 3 ��.p _� <br /> SITE ADDRESS PARCEL 'AX I.D.p PERMIT# <br /> ��� �o. � ��G. � � � � <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE �n <br /> J�xtq! //%rt jGF!i%!7 (.l��i /.C(/ F� ��� C��I�F'�� LILS �/�C L>7�/ I <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> . ;'/.`� E•�dAIL <br /> � c ,� /y ess i <br /> CONTR.LICENSE p <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �, /" �� Electric Gas Other <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Todet NC—air handlinc� unils <br /> Bathtub n Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower X Water healer <br /> _ Kitchen sink&disposal � Gas fireplace <br /> Dishwasher Gas ranc�e <br /> Clolhes washer � Clothos dryer <br /> Waler heater Range hood <br /> Sink(service/bar/mop/elc.) Exhaust fan <br /> BackOow preventer Heal pump <br /> Urinal Unit healer <br /> Drinking Fountain Boiler <br /> Floor urain Refrigcration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby coriti(y lha!I have read and examined this applicalion and know Ihe same to he true and correcl. All provisions of laws and <br /> ordinaces goveming Ihis lype of work will be complied with whelher specified herein or nol.The granling of a permit does nol presume <br /> to 9ive aulhority to vio�ale or cancel Qie provision o(any olher stale or lecal law regulating conslruction or the performance of <br /> conslruclion. Thal I am aulhorized by tho owner o(lhis property to perlomi Ihe work for which application is made and I comply with the <br /> Slalc Conlractors Law 18.27 RCW and 296.200 WAC. <br /> i%%% �� �'��U�( <br /> ,S+�aturo o(OwnedConlractor/Aulhorized Agenl Date <br />