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P�tRMIT APPLICATII,N <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 <br /> SITE ADORESS PARCEL TAX I.C.# PERMIT# <br /> f �J� C�IG � � ' <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP HO �/�� � <br /> (�. .S i/�7C -, G/��S ` 117�t � �� <br /> ���iG'G-S � L- It/A- 9g0 33 . Zc�G - �/09 - �Goo <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> ;'��,(l�� ��r�� S'•�z���=,y-�n �zs- ��3- ��3g <br /> CONTRAC O�� ADDRESS CITY2IP PHONE <br /> CONTR.LICENSE# <br /> USE OF BUILDING I HEAT SOURCE ( CONTRACT PRICE OF N/0RK <br /> i _Electric �Gas_Othor <br /> WORK DESCRIPTION <br /> 4 <br /> ���t� �i�� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling unils <br /> Bathtub Forced air syslems <br /> Lavatory(wasli basin) Gas piping <br /> Shower Water healer <br /> Kilchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Cblhes dryer <br /> Walcr healor Range hood <br /> Sink(senrice/bar/mop/etc.) Exhausl tan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Rofrigeralion <br /> Grease lrap Woodstove <br /> Roof diains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerilify that I have read and examined lhis applicalion and know the same to be lrue and correct. All provisions of laws and <br /> ordinaces governinc� this type o(work will bo complied with whether specified herein or nol.The granting o(a permit does not presume <br /> lo give authority lo violate or cancel the provision u(any olher state or local law regulaling consWction or lhe periormance of <br /> const i.That I am a rized by the owner of this nroperty to peAorm the work for which application is made and I comply with the <br /> S e C �clors LawX •27 C �nd 296.200 WAC. / / � <br /> / <br /> � /v 31 (D r <br /> Signature o(OwnedContraclor/Aulhonzed Agenl Oate <br />