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P�RMIT APPLICATICS�N <br /> CITY OF EVER�TT 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 7"��p � <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT N <br /> �g� o�s Avs o� o so V� �o�� - z I <br /> _ � <br /> LEGAL LOT N0. BLOCK TRACT OR SUBDIVISION# <br /> DESC. c <br /> OWNER ADDRESS CITYIZIP PHONE <br /> . <br /> TEt�A�AME CONTACTFORPERMIT PHONE 6D-��p SZS � <br /> Cy� -� ��G VLN.y E-MAIL 1 � <br /> ALP�Nc F�2.�� �����1Sts�v�s Nc. '135 E �A,�•avsn! �gu,¢,�,,�c�� I�N.q�i33 <br /> CONTR.LICENSE# 3(�o']sssW y 4 <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> Eleclric Gas Olher <br /> �ybUO � <br /> WORK DESCRIPTION <br /> M�Na+v�c�L �- G�sr-t ►�a�o CC�,,,n M�eA� �,��,��J� <br /> PLUMBING MECHANICAL <br /> NO. TY'PE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C–air handling units <br /> Dalhlub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Waier heater <br /> Kilchen sink 8 disposal Gas firep�ace <br /> Dishwasher Gas range <br /> Ciothes washer Clothes dryer <br /> Waler heater Ran�e hood <br /> Sink(serviceNarhnop/olc.) Exhausl fan <br /> �ackflow prevenler Heal pump <br /> Urinal Unit healer <br /> Drinking Fountain �oiler <br /> Floor drain Re(rigeration <br /> Grease lrap Woodslove <br /> Roo(drains Other <br /> Othor <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby ceritify thal I have read and examined itrs applicalion and know lhe same lo be lrue and correct. All provisions of laws and <br /> ordinaces governing this type ol work will be complied with whelher specified herein or noL The granting of a permit does not presume <br /> to give authoriry to violate or cancel lhe provision of any other stale or local law rec�ulaling conslruclion or lhe performance of <br /> construction.That I am authorized by the owner o(this property lo perform the work for which applicalion is made and I compiy with Ihe <br /> St�te Coniractors Law 18.2% RCW and '196.200 WAC. <br /> Signal�ire o(O�vnedGvntractorlAulhonzed Agent Date � � <br /> Z <br />