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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED PROM 8 AM TO 4 PM ������ <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> a 3 a 3 a Iz �t�t �I' 9�8�'D <br /> LEGAL LOT Nn. BLOCK TRACT OR SUBDIVISION p <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> l2en/ fh'rs��n ztn<< d3d]��pr%t S��.ef ��e�a�f 96'aol Nat- trR-c)o� , <br /> TENANT NAME CONTACT FOR PERMIT PHONE � <br /> EaYIAIL <br /> R R E � <br /> CONTR.LICENSE# <br /> �i wnt � <br /> USE OF BUILOING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Electric Gas Other <br /> WORK DESCRIPTION <br /> � oh�ti'f ��t�room �o �n�hrl <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � Toilel _ A/C—air handling units <br /> Oalhtub Forced air syslems <br /> � Lavatory(wash basin) _ Gas piping <br /> � Showcr _ Watur healer <br /> Kitchen sink&disposal Gas firepiace <br /> Dislnvasher Gas range <br /> C:othes washer Clolhes dryer <br /> Watcn c�aler Range hood <br /> Sink(service/bar!ntop/elc.) � Exhausl fan <br /> DackOow prevenler _ Heal pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease irap _ Woodstove <br /> Roof drains Other <br /> Olhcr <br /> CITY OF EVERETT LOCAL SALES TAJC CODE IS 3105 <br /> I hereby ceritity Ihat I have read and examined Ihis application and know the same Io be true and correct. All provisions of laws and <br /> ordinaces governing lhis type o(work�vill be complied wilh whelher spocified herein or nol The graNing of a permit does nol presume <br /> to give authorily to violate or cancel lhe provision ot any oUier slale or local law regulaling construction or Ihe performance of <br /> construclion. That I am authorized by Ihe owner o(ihis properly to perlorm(he work(or which applicalion is made and I comply with Ihe <br /> Slate CoNraclors La�v 18.27 RCW and . 0 WAC. <br /> �� C /� $1�7�09 <br /> Signature o(OwnedConlra or/Authonzed Agent D ta e <br />