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� PtRMIT APPLICATIC��V <br /> CITY OF E�/ERETT 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 �J ��% ,.f�' <br /> �� �T <br /> SITE ADDRESS �3�I �� PARCEL TAX I.D.# RMIT <br /> OI � ��- <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER �Q��NG� �„�_` AD'�EySS CITYrIP � PH ��` �� <br /> "�-O�F-I 1 <br /> —�.7��,�.i-rr�z �. �i�u�rt-. l..h �' z� ��� <br /> TENANTNAME CONTACTFORPER T PHONE <br /> �Y1E_ d.S �`1�2. <br /> CONTRACTOR ^ �DDRESS��O � CITY2IP PHONE Cz�� <br /> ` ( ��`� ' �}�, �t-kr`JYIt.51.-f '�l J��3 <br /> CONTR.LICENSE N � 1�1,�,��L� ����p <br /> ��� �...�r.��a.�. <br /> �- <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ��rj�f�'�f� ���� '� _Eleclric _Gas_Othor � 1��OOQ <br /> WORK DESCRIPTIJN n�p�,' � p� �� <br /> � F�r,vn�la-(-�ar, � v���� be �rr.�J. <br /> q S� (� Fd�,�f �5�,e. (� a�dg�. <br /> PLU BING MECHANICAL <br /> NO. TYPE OF FIXTURF OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling unils <br /> �alhwh Forced air systems <br /> Lavatory(wash basin) _ Gas pipinc� <br /> Shower �` I,. Water heater <br /> I<ilchen sink R disposal � � ��� � Gas fireplace <br /> _ Dishwasher 7 —J - . , , r� _ G2s rangc <br /> Clothes washer � ... � 1 � � ' Clothes dryer <br /> Laundry lray Ranr�c hood <br /> 8ink(servicelbadmop/etc.) [zhaust fan <br /> Backllow prevenler Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Re(rigeration <br /> Grease trap _ Woodstove <br /> = Roo(drains I = Other — <br /> Other <br /> CI1Y OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby ceritify Ihal I have read and examined lhis application and know fhe same lo be true and correcL All provisions of laws and <br /> ordinaces�overning Uiis lype of work�vill be complied wilh whelher specified herein or not.The granling of a pertnil does not presume <br /> to give authonty to violale or cancel lhr provision o(any other stale or local law regulaling consWclion or the performance of <br /> conslruclion.Thal 1 am authorized by lhe owner o(lhis property lo per(orm lhe work for which applicalion is made and I comply with the <br /> Slale Co actors Law 18.27 RCW and 29G.200 WAC. <br /> � . o � 50�� Z`� <br /> Signature of n /Contraclor/Au i ized Agent Date <br />