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PtRMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, [VERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-88�7 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# O PERMIT# <br /> /7/� f/A ST � t�o�or-cr, <br /> LEGAL LOT NO. BLOCK TRACT OR UB IVISION# <br /> DESC. �3 DOS-f)� 00 �c� �vo <br /> O ER (� ADDRESS CITY2IP PHONE <br /> � <�C�?�I.� �7�� /��f ,F�/E�E/T 5`�- .3�{-vf�` <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> S/yF'� SA� E-MAIL <br /> TRACTOR D TYIZ p p <br /> CONTR.LICENSE# ��� clz/�-� �0�� p�U 7�/ <br /> / 7 V / / J <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> GAR�1� ' <br /> � ,L/Eleclric Gas Olher <br /> v_ <br /> WORK DES(:RIPTION � /_ � � �,L /' � /3�/9�6// � <br /> �ITi (�'T� �[/�j__� .t�%� �o� <br /> �1,�.�/� .�c�-er" V �3�� 6 \-��-1�� � <br /> PLUMBING `� MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR!TEM <br /> Toilel !VC—air handling units <br /> Bathlub Forced air systems <br /> Lavalory(�•ash basin) Gas piping <br /> Shower Water healer <br /> Kilchen sink 8 disposal Gas Tireplace <br /> Dishwasher Gasrange <br /> Clolhes washer Clothes dryer <br /> Waler healu Range hood <br /> Sink(service/badmoplelcJ Exhaust fan <br /> BackOow preventor Heat pump <br /> Urinal Unil heater <br /> Drinking Founlain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerilify lhal I have read and examined lhis application and know the same to be lruo and correcl. All provisions of laws and <br /> ordinaces goveming Ihis type of work will bo complied wilh whelher specified herein or noL The granling of a permit does not presume <br /> to give aulhority lo violale or cancel Ihe provision of any olher stale or local law regulating construction or tha performance o( <br /> constr lion. Thal I a atH rized by the owner of this property to peAorm lhe work for which application is made and I comply with lhe <br /> St o^lraclors L� 18.'7 C and 296.200 WAC. <br /> � �` .Z.Z� 0� <br /> naWre o(Owne Con ra o i orized ent Dale <br />