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� <br /> P�RMIT APPLICATIC►�� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org 3 —'�3,�p 9 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM s' �GJO� '�J p � <br /> ! <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> o � mG r�h<</{w ,- Ycr�io cc� %as '' <br /> LEGAL LOT NO. BLOCK TRACT OR SU DIVISION# <br /> DESC. n Zc�� <br /> OWNER ,p�� � ADDRESS S/jU UJ� CITYIZIP PHONE <br /> y— �V - <br /> �ilJ.�o / n r/1 /r � � 77�`I /����✓ SL� - — <br /> TENANT NAME CONiACT FOR PERMIT PHONE <br /> YLS-;30-Js�� <br /> e�a� <br /> CONTR.LICENSE v <br /> • USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> C�� j�'-� ,�Electric _Gas_Olher <br /> WORK ESCRIPTION <br /> i <br /> cS%l/�'✓ �� X � ,�`nc%SeoQ <.`no2s <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-air hani'�ng units <br /> Bathlub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water healer <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwashcr Gas range <br /> Clothes washer Clolhes dryer <br /> Waler healer Range hood , <br />— Sink(service/badmop/elc.) Exhaust fan <br /> Backllow preventer Heal pump <br /> Urinal Unil he2ler <br /> Drinking Founlain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodslove <br /> Rao(drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> I heiaby cerilily that I have read and examined this applir,atio�and know lhe same to be true and correct. All provisions of laws and <br /> ordinaces governirg lhis type o(work will be complied with whelher specified herein or nol.The granting of a permit does not presume <br /> to c�ive authority lo violale or cancel the provision of any other slale or local law rec�ulating consWction o:the peAormance of <br /> conslruction.Thal I am authorized Uy lhe owner o(lhis property to perform ihe work for which application is made and I comply wilh lhe <br /> Stale Contraclors Law 18.27 RCW and 296.200 WAC. <br /> �'� C `"` � -�> �� y <br /> SignaWro of OwnedCoi ractodAulhorized Ac�ent Dale I <br /> � <br />