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PERMI i 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 - DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> S�TE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> / <br /> �,?Uu iC�-^-RIL G�h F�=?kL'4i7� _Sl?•lG:"CD.�GI.�iCi"J I � � ^��T <br /> LEGAL LOTNO. BLOCK TRACT <br /> oesc. SEE D���vl <br /> OWNER ADDRE55 CITY2IN PHONE <br /> �!I�kI:IcL �tiEFf: 1���!I�o�� L'-� ::w VNIVEI�ITY Si��fi SEn7f'..t <br /> �ICiI <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> - �; �Z s��N �a1GN . ^c: ��. _ ,; , „�, <br /> .iv� i c �. <br /> CONTRACTOR ADDRESS CIN21P PHONE <br /> r';,PMA�lJ �G"'t�AN? u-i�� �,�� _ND A'✓�ti�� N �EYi ^Cb-5"s• y7GC <br /> CONTR.LICENSE# �,�MAC�C✓S� ��'G'�--� <br /> . �. -� <br /> �i��ti� <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> ;;,:/E ' I•/!•RLi'Gvs� <br /> ElecMc ��Gas_Other �, I S,LU,%. GD <br /> WORK DESCRIPTION _ _ - -- � <br /> 1��irr�'ti fNp �'���T'GN Cr ^D„llvGl:l� �N� 6RPS !:! _•-'- . _ . .- - - _ . ,. _ <br /> DCt:�vy�551!���.ci �'.� :x',r74c1 NVAG EG�'✓ir'NE4� _ ;ia : <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-air handling unils <br /> Balhlub Forced air syslems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas firepiace <br /> Dishwasher Gasrango <br /> Clothes washer Cbthes dryer <br /> _ Laundry tray Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> BackOow preventer � Heat pump <br /> Urinal Unil heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Olher <br /> Other <br /> CITY OF[VERETT LOCAL SALES TAX CODE IS 9105 <br /> I hereby ceritify that I have read and examined this application and know the same to bo true and correct. A�I provisions of laws and <br /> ordinaces goveming this rype o(work will be complied wilh whether specified herein or not The c�ranting of a permit does not presume <br /> to give authority to vioiate or cancel the provision of any other state or local law reguiating conslruction or tho pedortnance of <br /> construction.That I am authorized by the owner of this property to perform the work(or which application is made and I comply with Ihe <br /> State Cpntractors Law 18.27 RCW and 296.200 WAC. <br /> ;`���, ��- i �1��I���-( <br /> Siqpatur -of-0wn dContractor/Authonzed Agenl ata � <br /> I — �L <br />