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� PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8L�10—FAX 425-257-8857—www•everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PARCEL TAX I.D.# PERMIT 1[ <br /> SITEAD RES M v��C��C��� <br /> ��r�� M,�No c. ;a �� � i � ( c� on��� � �s`?c� � � <br /> LEGA L0T NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS ��� /1� CITY2IP PHOHE <br /> �, ��c � K���o�� i���ss �,a� � ��;���; �rs���� yz� z � �� .. � ��� <br /> TENANTNAME I CONTA:TFORPERMIT PHONE <br /> I E-MAIL <br /> h��bq ., F ��c. "l�I lp 7_2.e�-, S! .Sw �' 1 mcwn+r,�c¢fc�r�� `i6u�i: kz-S�'77�-1i3`l <br /> CON'R.LICENSt A <br /> 8����c4+A��rz.1 <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WOiiK <br /> --�Electric _Gas_Other (yi �V _ <br /> --1'� <br /> WORK DESCRIPTJON <br /> Ull. 'iD ��A�� ��/�P <br /> PLUMBING MECHANICAL <br /> NO. TL'PE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet _. A/C–air handlinc�units <br /> Balh1�6 _ Forced air systems <br /> Lavatory(wa,h basin) _ Gas pipin_r, <br /> Showei _ Waterheater <br /> Kitchen sink&disposal _ Gas lireplace <br /> Dishwasher _ Gas rango <br /> Cbthes washer _ Clothes dryer <br /> Watcn c�atcr _ Rango hood <br /> Sink(service/bar/mop/etc.) Exhaust lan <br /> �ackllow preventer � Hcat pump <br /> Urinal _ Unil heater <br /> Drinking Founlain _ 8oilcr <br /> Floordrain _ Refrigeration <br /> — Woodstove <br /> _ Gieasclrep pthcr _ <br /> Roof drains — <br /> Olhcr_ — <br /> CITY OF EVFF,ETT LOCAL SALES TNf CODE IS 3705 <br /> I hereby cerilily that I have read and examined this appiication and know the same to be true and correcL All provisions of laws and <br /> ordinaces governing ihis typ�ot work will bo complied with whether specified nnrein or noL The granting of a perr�'t does nol presume <br /> to give auUioriry to violale or cancel lhe provision of any olher slate or local law regulating consL•uclion or lhe per'ormance of <br /> construction.That I am authorized by Ihe owner of Ihis property to pertorm the work�or which application is maUc ar�d I comply wilh the <br /> Statc Contraclors La 1 RCW and 296.200 WAC. <br /> ���� �d'� � ' � Y <br /> � Signature Owner/Co uthorized Agont Dato <br /> i <br /> I�/ <br />