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PE� rtMIT APPLICATIO�iv <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—wuvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� ,., 3_�'7 <br /> SITE ADDRESS I PARCEL TAX I.D.# PERMIT N '� <br /> o OAKEs AV� <br /> LEGAL LOT N0. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> TENANT NAME CONTACT FOR PERMIT PHONE �S ^p�Sy- G�O( <br /> C. ��bP$T� X l��E G/}�fEiv e�a� <br /> �u�c /►LAI�CNA« 5l6nd.I�'C. p <br /> ��, <br /> CONiR.LICENSE N ^- ��� C � � � � �{� 'a' ( � ��.`d"}'� AvE fg�}V � <br /> ��1 J !' <br /> USE OF BUILDING HEAT SOURCE CONTkACT PRICE OF WORK <br /> _Electric _Gas_Giher �a. � �/ � <br /> WORK DESCRIPTION <br /> Sl�,l�A6� D v R4��AluG No�TM � SGEZ� Sl �� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-air handling units <br /> Balhtub Forced air syslems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kilclien sink&disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clolhes dryer <br /> Water heater Range hood <br /> Sink(service/badmop/elc.) _ Exhaust fan <br /> Backflow preventor _ Heat pump <br /> Urinal Unit healer <br /> Drinkinc� Fountain _ Boiler <br /> Floor drain Reirigeretlon <br /> Grease Irap _ Woodslove <br /> Roof drains Other <br /> � Other 1�6Uf — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby coritily tliat I have read and examined lhis application and know lhe same to be lrue and correcl. All provisions of laws and <br /> ordinaces oveming this type o(work will be complied wilh whelher specified herein or not,The granting o(a permit does nol presume <br /> to ' e aut rity lo violalo or cancel lhe provision o(any other slate or local law regulating construclion or the podormance of <br /> co s ructio That I am aulhorized by lhe avner of this proporty lo perform the work for which applicaGon is made and I comply with lhe <br /> St t Conir lors Law 18.27 RCW and 296200 WAC. <br /> Y-a� <br /> Sign re o( wner/Conlreclor/Authorized Agent Date <br /> ��2 <br />