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. . �� � P�.��MIT APPLICATICl�J <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 /r`Q .� <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org (�, �� <br /> ���f� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS I PARCEL TAX I.D.A PERM <br /> ! c�a�'3 rr it/l�a� �c.. ��.q Gq Cxx.0 Goc.., - <br /> LEGA LOT NO. BLOCK TRACT r <br /> DESC. � •�J/) � �O <br /> �C/ <br /> �s+����1�1�� ��u�C�-��►�R�����'Ma��l�«� c,c�.Q���P�l�s.�3`�-�'is� <br /> TENANiNAME CONTACTFORPERMIT PHONE <br /> � I STe� �.�. �-las�a3`i-34S� <br /> CONTRACTOR ���,� U^S �� ADDRESS CITY2IP PHONE <br /> �b. l�� �-�S <br /> COHTR.UCENSE X � <br /> �t9a�oc.lc�l-{��S 7,3� �tu � �-�co t'xr�l. q� " �`�l-� S'� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> S�nti IL�,I ly I�l.s , _Electric �Gas_Other I ����_ L IA �U <br /> WORK DESCRIPTION � � r I '�2/UOI� <br /> ��,��lZ1lt�, ,l���J i'/G�C4-Qi �¢/Z ' <br /> �� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIICTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � Toilet AIC—air han�fiing unils <br /> ;.:� Bathtub �, Forced air systems <br /> � Lavatory(wash basin) Q Gas piping <br /> � Shower + � Water healer <br /> _� Kitchen sink 8 disposal Gas fireplace <br /> �_ Dishwasher �_ ��as range <br /> �_ Ctolhes washer � Cbthes dryer <br /> _ Laundry tray I Range hood <br /> _ Sink(service/bar/mopletc.) � Exhaust fan <br /> _ Backflow preventer Heal pump <br /> Urinal Unit heater <br /> Dnnking Founlain i,o�ler <br /> _ Floor drain Refrigeration <br /> _ Grease Irap Woodstove <br /> Roof drains Other <br /> Olher — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br /> I hereby cerilify that I have read and examined this applicatlon and know the same lo be true and correct. All provisions of laws and <br /> ordinaces governing lhis lype of work will be comp�ied wilh whelher speciliad herein or noL The grenting of a permit does not presume <br /> lo c�ive authonty to violale or cancel the provision of any olher stale or local law regulating construction or the performance of <br /> conslruction.Thal I am authorized by the owner of lhis property(o perform lhe work for which applicalion is made and 1 comply with ihe <br /> State Conlraclors Law 18.27 RCW and 296.200 WAC. <br /> 4����--1��rL �,-t�-C�� <br /> Signa�ure of OwnedConlractodAulhonzed Agent Date ,/� <br /> 't�Z ��zU y <br />