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PEhtMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-SS i 0- FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��-J�/(� <br /> SITE ADDRESS PARCEL TAl(I.D.# PERMIT# <br /> —�� �` �C�� -(?'E� �/��j ,�.2� �CJO 1 -U�(� <br /> LEGA: LOT NO. BLOCK TRACT OR SUBDIVISION q <br /> DESC. <br /> OYJNER ADDRESS CITY2IP PHONE <br /> // / � / 7c� y'S 25) <br /> /\(.��// ,GI �C��"lG'n' (�C� �'I`[,{�(��.� f7�� . c�-(if. 'v7 �/ � ��� � " <br /> nX� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> { z` // <br /> \C' ,/! t' L� SA ,/v'1�L�(va-i E-MAIL <br /> �b.�j� q DDRESS CI YI ^ —l'�� <br /> CON7 R.LICENSE# <br /> �/.J� � ti_ <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Electric Gas Olher <br /> WORKDESCRIPTION � � . �,� c �" � S���jiJ �;�Iny�i o2�'�rc�<c5 ��•(4C.L <br /> , r <br /> �E'• `u� I i i� �i Y ,$ /f <br /> �:y'i;:'�'��� .ti�� i ic'//�� <br /> :; / �l<��� <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C-air handling unils <br /> Bathlub Forced air systems <br /> Lavalory(wash basin) _ Ga��piping <br /> Shower W�ter healer <br /> Kilchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gas ranc�c <br /> Clolhes washer C!othes dryer <br /> Waler healer Range hood <br /> Sink(service/barlmoplelc.) _ Ezhaust fan <br /> BacAOow prevenler _ Heal pump <br /> Urinal Un�heater <br /> Drinking Fount2in . _ Boiler <br /> Floor drain Refrigeralion <br /> Grease Irap _ Woodslove <br /> Roof drains Other <br /> Othcr <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby ceritity that I have read and examined this application and know ihe same to be true and correcl All provisions of laws and <br /> ordinaces goveming this type o(work will be complied with whelher specified herein or not.The granliny o(a permit does not presume <br /> to gi�e auUiority to viulale or cancel Ihe provision of any olher state or local la�v rec�ulaling construction or lhe peAormance of <br /> cons�ruction.That I am authorized by the owner of this properly to perlorm the work tor which application is made and I comply wilh the <br /> Slate Conlractors Law 18.27 RCW and 296.200 W.\C. � <br /> ����y'�� li'/ L��C� <br /> _ <� <br /> Sign;�ture of OwnedConlraclodAuOiorized Agent ' Date <br /> -- � <br />