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PtRMIT APPLICATION <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 ADDRESS PARCEL TAX I.D.# /O PERMIT# <br /> /7/9 /�/s!� `� Q 086 -O�fr <br /> LEGAL LOT N0. BLOCK TRACT OR UB IVISION# <br /> oesc. �3 oos -jI� o o �C�a fIDO <br /> �O, ER ( ADORESS CITY2IP PHONE <br /> �"� {��!'I�1sLe. ���5' /`�iq,/.�!F ,EdE,eE/T `fzS- 3�`f-G�`/�` <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> SA/ /� �/7� E-MAIL <br /> TRACTOR A DR S / P E <br /> CONTR.LICENSE# ��,�� .5/zL'� ��/1� e)U 7CJ <br /> 7 � / � / <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> (.>/Y�/7�i� � �lectric _Gas_Olher <br /> WORKOESCRIPTION �✓ �� �` /> � y�� �� �3��9'6�/ � <br /> ct� �y <br /> I <br /> �u� �er �j � �3/C Z�i� �t� .� �IIS�u _ <br /> 0 " <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air handlinc�units <br /> Dathtub Forced air systems <br /> Lavatory(wash basin) � Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> Water healer Range hood <br /> Sink(service/badmop/elc.) Exhaust fan <br /> Backflow prevenler Heat pump <br /> Urinal Unil healer <br /> Drinking Founlain Boiler <br /> Floor drain Refrigeration <br /> Grease lrap Woodstove <br /> Roof drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriti(y that I have read and examined this application and know ihe same to be We and correct All provisions of laws and <br /> ordinaces goveming this lype of work will bo complied with whether speci(ied herein or noL The granting of a permil does not presume <br /> to give aulhority to violate or cancel the provision of any other stale or local law regulaling consWction or the performance of <br /> conslr�lion. Thal I a aothorized by the owner of this property to perform the work for which application is made and I wmpiy with the <br /> SlalcfContraclors L 18. 7 RC end 296200 WAC. <br /> /i <br /> ` t[.�-tG / ` /Z'�' � � <br /> ignalure of Owne JCon ra orized genl Date � <br /> /Z <br />