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PtRMIT APPLICATION _ ; ., <br /> CITY OF EVERETT PERMIT SERVICES ; :� iJ " <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 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> S� ����� �U'✓ � �. (v�/ ` 3 <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> 9 I <br /> �O��t" �C�1'� �C���.L( 1 ���6 �5�- f l 7 ni l�L NL h—IXJEI/�pd./ �7'� '�/'�C�3� <br /> YENANT NAME �. I CONTACT FOR PERMIT / �' KP vi n MC(J�K Eg,( <br /> � ��c�-v� f-��c�e� 2vG - 9� 3- yo� �I-- <br /> CONTRACTOR ADDRESS CITY2IP PHONE____ <br /> _� <br /> CONTR.LICENSE p D��J 25 -4�u3- �i 73v \ <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �� � _Eiectric Gas__Other <br /> WORK D SCRIPTION <br /> —�-�,!�-,�s (��1 D��c.� x <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air handling units <br /> � Balhtub 'L Forced air systems <br /> Lavatory(wash basin) i— Gas piping <br /> Z Shower �� Walerhealer <br /> � Kitchen sink&disposal z— Gas(ireplace <br /> _�i Dishwasher Z Gas range <br /> 7� Clothes washer Z Clothes dryer <br /> 7�� Water healer z= Range hood <br /> Sink (service/badmoplelc.) L Exhaust fan <br /> Backflow prevenler Heat pump <br /> Urinal Unit heater <br /> Drinking Founlain Boiler <br /> Floor drain Z Refrigerafion <br /> Grease trap 'Noadstove <br /> Roof drains OthEr <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby c�rilify Ihat I have read and examined this application and know the same to be We and correcL AII provisions of laws and <br /> ordinaces governing this rype o(work will be complisd wilh whelher specified herein or noL The granting of a permit does not presume <br /> to give aulhonty to violate or cancel the provision of any olher slale or local law regulating conslruction or Ihe pe�formance oi <br /> conslruction.That I am authorized by lhe owner of lhis property lo perform the work(or which application is made and I comply with the <br /> Sl �C�ors L �7 and 296200 WAC. / <br /> � , , . / ��0� <br /> Signalure o(Ow r ontractodAulhonze Agen� Dale � /Z <br /> I <br />