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P�RMIT APPLICATIdN <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 /> APPLICATIGNS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT� � <br /> 133�1 op�c�s b��t so�2 � `� `�J.� - 3 / <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> �(�-esl�"7�-�c� 1�1�.�i�AL C'-��-,�Z� L' mL'�3� ��l� <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> ( �Si'i=`(� 1"��G-r�--�� �4"25>3�k�-O�D7 <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> a�� Po2pos� � •�. �.�� �ask'-' SW ��w� <br /> CONTR.LICENSE p � �.�...� <br /> l� l.L.�Pl7 �a� 1 So3 ( ��lT`I' S13� <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> ��.r�,��,��Gur _Electric _Gas_Other <br /> WORK DESCRIPTION <br /> ��C.���O'�\�C� <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIxTURE OR ITEM NO. TYPE OF FIXNRE OR ITEM <br /> Toilel A/C—air hand�ing units <br /> Bathlub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Waler heater <br /> Kilchen sink&disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clolhes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/bar/mop/elc.) _ Exhaustfan <br /> Backflow prevenler _ Heal pump <br /> Urinal Unit heater <br /> Drinking Founlain _ Boiler <br /> Floor drain Retrigeration <br /> Grcase trap _ Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby cerilify Ihal I have read and examined this applicalion and know the same to be true and correct. All provisions of laws and <br /> ordinaces governing this type of work will be complied wilh whether specified herein or nol.The granting of a pertnit does not presume <br /> to give aulhority t violale or cancel lhe provision o(any olher state or local law regulating construclion or the pertormance of <br /> conslruc' ��am authonz d by lhe owner of lhis property lo perform lhe work tor which application Is made and I comply wilh the <br /> Stale Conlracto 18.27 R W and 296.200 WAC. <br /> _ � �� �S <br /> Si aWre of Owner/ ulhorized gent Date <br />