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P'�RMIT APPLICATIt��V <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org � _o g�,s <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.i� PERMIT# <br /> � 7>eS ���'�-l��c=�t��,`�L BOS - <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> �i�tc.��l .� ���.1�=���. �,�-�' -� �--I��� C�"l3l�tl�:(L C-�=�— \�..�� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> ,_ �l�-v� �,-�-i�CcvTc� � �I�ZS)34� -��� <br /> CONTRACTOR ADDRESS CITY2IP � PHONE <br /> �.�{ .>�_ v -n.'�:t. p=' Liv-�L-:�1�'��-\t�` r2Gi.� � \C� .-2.�'�'SS <br /> CONTR.LICENSE# � <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> i � 1 t' <br /> �- �=c_�� �`�`�1 ,� � _Electric _Gas_O�her ��jQv <br /> WORK DF.SCRIPTION <br /> �_�_�Z.=C� �'' i h_C--� <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C-air handling units <br /> 6athlub Forced air systems. <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplaco <br /> Dishwasher Gasrango <br /> Clothes washer Clothes dryer <br /> Laund� tray Range hood <br /> Sink(service/badmop/etc.) Exhaust fan <br /> BackOow prevenler Heal pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeralion <br /> Grease trap Woodslove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby ceriti(y lhat I have read and examined this application and know lhe same lo be true and correct. All provisions of laws and <br /> ordinaces govemin9 this type o(work will be complied wilh whether specified herein or nrt.The granEng of a pertnit does not presume <br /> lo give aulhonty to violate or cancel lhe provision of any other state or local law regulatiny wnslruction or the perfortnance of <br /> conslruclion,-That aulhorize by the o�v�er of this property lo perform lhe work for which application is made and I comply with lhe <br /> Stale Conlractors L v 1827 RC and 296.200 WAC. <br /> -- ---� -- / �e-� � e� � S <br /> Signaturelo(OwnedCon �dAu orized Age ri Dale <br /> \ <br />