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-� . <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVII:tS <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 r� � .�/�� <br /> SITE ADDRESS ��'l�/#- Q6,K�� PARCEL TAX I.D.# PERMIT# <br /> Q � � <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE S CITY2IP P E <br /> t�.rt�x►a��r ��� C z�l �}o�a <br /> _�i�(� C'�--''".s �,�-�- t..b �' - tyt�cic,P ��n L <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> �Atkl� AS �(r�r`IEfL <br /> CONTRACTOR ^ �z^�11(y'�"�DDRESS�J O. � CITY2IP PHONE �z� <br /> CONTR.LICENSE M t `�• � �r��,�� � � <br /> (�•(A.L.�t,SGOS�I.-�( � � �5 G G <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �N ��� I _Eleclric _Gas_Other � �s����� <br /> WORK DESCRIPTION � � � ,� <br /> � F�,v�a�f��r, � v��d�rre� 6e w,c�rr,�l. <br /> q � !� �d�,�� �e� ' �� � ����. <br /> PLU BING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilet _ A/C—airhandlingunits <br /> Bathlub _ Forced air syslems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower � _ Waterheater <br /> Kilchen sink&disposal � .:; � ;n _ Gas fireplace <br /> _ Dishwasher �� " ' � 1-, _ Gas range <br /> Clolhes washer i _. Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/bar/moplelcJ _ Exhausl tan <br /> Backflow prevenler _ Heat pump <br /> Urinal _� Unil heater <br /> Drinking Founlain _ Boiler <br /> Floor drain Refrigeralion <br /> Grease lrap _ Woodslove <br /> Roof drains ._ Other <br /> Other — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined lhis applicalion and know the same lo be We and cc�rtecL All provisions of laws and <br /> ordinaces goveming this lype of work will be complied with whether specified herein or not.The granting of a pertnit does not presume <br /> lo give authority lo violale or cancel the provision of any olher state or local law regulaling construclion or lhe perfortnance oi <br /> construction.That I am authorized by the owner of fhis propeAy to peAorm the work for which application is made and I wmply with the <br /> Slale Con ctors Law 18.27 RCW and 296.200 WAC. <br /> Signatu of Ow�ContrectodAu onzed� Dal� <br />