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F �RMIT APPLICATI�.�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org � _� ��S' <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 1 <br /> 1���v\ 1�c:<I��'�.�LL''� ' C'�S 7 -O Z Z <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> ��,�-`-^l � ���---'�,= N\L�`� lC�t C�tl.3�'Z.`(L' �b(�.��� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> � -A vZVJc�� �.� k.:l�f�iL(Z--�'�I:..�SG�_—C <br /> CONTR.LICENSE# <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> � <br /> ��� � �� �1,"-� �� � _Electric _Gas_Other <br /> WORK DESCRIPTION <br /> ���_C'��l: <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A!C-air handling units <br /> Bathlub Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Waler healer <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Cbthes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/badmop/etc.) Exhaust fan <br /> Backtlow prevenler Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Retrigeralion <br /> Grease trap Woodstove <br /> Roof drains Olher <br /> Other <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 the same to be true and correcL All provisions of laws and <br /> ordinaces governing lhis type of work will be complied with whether specified herein or not The granting of a permit does not presume <br /> to give aulhoriry o vioiato or cancel lhe provision of any other state or local law regulating consWction or lhe perfortnance of <br /> conslroc!ion.-L t I am aulhoriz d by the owner o(this property to perform the work(or which application is made and I comply wilh the <br /> State,Contrador L3w 18.27 RC and 296.200 WAC. <br /> �- t . <br /> Si ature of Owne/Cont te honzed g t Date <br />