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, <br /> PE�tMIT 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 I�I�GjC��'.�� <br /> SITE ADDRESS �¢� PARCEL TAX I.D./ P MIT A� <br /> Z5o! /�( EZ-vin� R-�E po � 70 ! 50 0 � 3 )� -J� <br /> .EGA LOTNO. BLOCK TRACT C <br /> DESC. $` �LA'1' oF P}NfcNt(LST VOL. p PtL <br /> OWNER ADORESS CITY2IP PHONE �,�\ <br /> / <br /> �hvE MA-D �-� clb�t 17524 34�'' /beuNG�w �r�z3 .�44-4663 <br /> ?ENANTNAME G�I4STi-E W� •CONTACiFORPERMIT PHONE <br /> CON':RACTOR �WN� ADDRESS GTY21P PHONE . <br /> �s��� <br /> CONTR.LICENSE p <br /> USE OF BUILDING HEAT SqllRCE I CONTRACT PRICE OF WORK <br /> / <br /> SPEc Cm�sT2 ue'7�oAl _E����ri� 1�Gas_Olher <br /> WORK DESCRIPTION <br /> i �� !� �L��C.' i �i�1�.����/ <br /> ✓/ <br /> PLUIl7BING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE UF FIXTURE OR�TEM <br /> Toilel WC—air handling units <br /> Bathtub Z Forced air systems <br /> Lavalory(wash basin) Gas pipinp <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fire�lace <br /> Disliwasher Gas range <br /> Ciothes washer Z Clolhes dryer <br /> Range hood <br /> Sink(servicelbar/mop/etc.) Exhaust tan <br /> Back(low prevenler _ Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Retrigerefion <br /> Grease Irap _ Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE�S 3105 <br /> 1 h�reby cerilify thal I have read and examined this application and know lhe same to be true and wrcecL All provisions of laws and <br /> ordinaces goveming this type o(work will be complied wilh whether specified herein or nol The granting oi a pertnit does not presume <br /> lo give aulhority to violate or cancel lhe provision ot any other stalo or local law regulaGng construcdon or the performance of <br /> constructi . am aulhorized by the owner of Ihis property to perform lhe work for which application is made and I wmply with the <br /> State C tre rs 18.27 RCW and 296.200 WAC. <br /> (S Ol� <br /> Sign t �o Owner onlractor/Authonzed Agent ale / <br /> �Z <br /> r <br />