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P�cRMIT APPLICATION <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 9 PARCEL TAX I.D.# �M�U6 ' � <br /> ���.�• G C/ � I1D ��� <br /> LEGAL�. LOTNO. BLOCK TRACT <br /> DESC.I <br /> � <br /> OWNER ADDRESS CITY2IP PHONE �L� <br /> l�f{�fS '7� ��Q�L�-S' +7� �iJ� %/ /.0 - <br /> TEr.ANT NAME � CONTACT FOR PERMIT PHONE <br /> � � J c !� 4 <br /> CONTRACTOR �/ ADDRESS CITY2IP PHONE <br /> �., <br /> CONTR.LICENSE# <br /> USE OF BUILDING , � HEAT SOURCE CONTRACT PRICE OF WORK <br /> SiN�� r��i�y �ZmS�v:N �Q/ <br /> �F rn,rfiLll i�' �� —Eiectric _Gas=Other _ �O / <br /> WORK DESCRIPTION , <br /> � '- `r�' X IJ `�f3 ' qar�/TO/✓ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Waler heater <br /> Kitchen sink 8 disposai Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Waler healer Range hood <br /> Sink(service/badmop/etc.) Exhaust fan <br /> BackOow preventer V Hcat pump <br /> Urinal Unit heater <br /> Drinkin� Founlain Boiler <br /> Floor drain Refrigeration <br /> Grcase trap Woodslove <br /> Roo(drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br /> I hereby ceritify thal I have read and examined lhis application and know the same to be true and correcL All provisions of laws and <br /> ordinaces goveming lhis lype of work will be complied wilh whether specified herein or not.The grenting of a permit does nol presume <br /> lo give aulhoriry to violate or cancei the provision o(any other stale or Iocal law regulatinc�construction or lhe peAormance of <br /> construction.That I am aulhorized by the owner of lhis property to pedorm the work for which application is made and 1 comply wilh the <br /> Stale Co lraclors Law 182 RCW d 296.2�WAC. <br /> ��- �` �- - � �/�/�,� � � <br /> Si a re w /Con actor/Authorized Agent 'D te ` <br /> ll� <br />