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P'�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES 5� 1�� <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 T04 PM � ��`� �b�• (,� <br /> SITEADDRESS 7yvZ �Y�J�%C U( - � PARCELTAXI.D.A� P RMIT� <br /> � � C>b 20 � ) 0`�- G' // <br /> LEGAL LOTNO. � BLOCK TRACT <br /> DESC. <br /> OWNER ADORESS CITY2IP PHONE <br /> "� �/`� <br /> P I�ZEX/F� L�(',(7LL7L�S ��� <br /> ENANT NAME CONTACT FOR PERMIT PHONE <br /> ..� �J �.. <br /> �. : '' � i '�/�� �� � 7z � Q" ��' <br /> CONTRACTOR � '� 7 ` �� q AUDRESS C�TY21P PHONE <br /> �z�� &1���-� �ti� ,.�69ia yzNo��c-�c� �bo-��`a-�z <br /> CONTR.LIdENSBp -�•�. r 1, -. � '•$' � 'r.�)o�l�� G'S �� �M B S���o�. � .'-� <br /> A��oi2���s i�z � ta�, �� ��� ��Z <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> �-�� _Electric �Gas_Olher <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � Toilel A/C-air handling units <br /> � Bathtub � Forced air syslems <br /> _t� Lavalory(wash basin) � Gas piping <br /> � Shower ,� Waterhealer <br /> / Kitchen sink&disposal _(_ Gas firep�ace <br /> � Dishwasher Gas range <br /> � Clothes washer � Cbthes dryer <br /> � V�'ater lieater � Ranc�e hood <br /> Sink(service/badmopletc.) /-� Exhausl fan <br /> Backflow prevenler _ Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease trap _ Woodstove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL 5ALE5 TAX CODE IS J105 <br /> I hereby ceritify lhat I have read and examined this applicalion and know the same to be true and correcL All provisions of laws and <br /> ordinaces goveming Ihj� lype of be co lied wilh whether speci(ied herein or not.The granting of a permit does not presume <br /> to give authoriQi lo i e o� ancr.l e provi ' of any other stale or local law regulating construclion or lhe pertormance of <br /> construclion.Tha m authoriz d b he o r o(lhis property to perform the work for which application is made and I comply wilh th e <br /> Slate Contra s L u� 18.27 R 'W an .200\NAC. <br /> y �� <br /> Signature ot edCon�re orized Agent D e �I <br />