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PEr2MIT APPLICATIOi� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, Eb=1�ETT,WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS rf/Z PARCEL TAX I.D.p PERMI # <br /> --�0_ _ � <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> � C-- /`( .�. S-�`-�°- ���c�- <br /> TEHANTNAME <br /> CONTACT FOR PERMIT PHONE <br /> T�F ��c--RF�,�N �c �i� ��-r lJ�u.r-�N �fZs-339—su�� <br /> CONTRACT ADDRESS CITY2IP PHONE <br /> �2� c G � �P�ti t�3�z �09+" s��oh,�.is(� , y2s a3� 8� <br /> CONTR.LICENSE# /_I ���� L Q�l 3 � ) �U E S� q gtiy e ��-,^7�'" � � <br /> la � [ ( <br /> USE OF B%' ' "z'-'"" ' I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> ` �Electric Gas_Othcr 7 ( � h <br /> WORK DESCRIPTION <br /> � I_ <br /> / % �./;� V �' �� <br /> �i� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet _ NC-air handling units <br /> Dathlub _ Forced air syslems <br /> Lavalory(wash basin) _ Gas pipinc� <br /> Water I�eater <br /> _ Shower Gas fireplace <br /> _ Kitchen sink&disposa� Gas range <br /> _ Dishwasher Cblhes dryer <br /> _ Cblhes washer Range hood <br /> Waterheater Exhaust(an <br />-� _ Sink(servicelbar/mopfcic.) Hr:al pump <br /> Backflow prevenler Unit healer <br /> _ Urinal Boiler <br /> _ Drinking Fountain — Refri��eralion <br /> Floor drain Woodstove <br /> Grease lrap Ulher <br /> Rooi drains — <br /> Othcr — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerilify lhal i have read and examined this application and know the same lo be true and cortecL All provisions of laws and <br /> ordinaces governing this lype o(worr wJl be complied with wheth�r speci(ied herein or nol.The c�ranting of a permit does not presume <br /> to give authority lo violale or cancel the pro�ision of any other stale or local la�v regulating construction or the performance of <br /> construction.That I am aulhorized by lhe ownr.r ot this property to perform lhe work for which application is made and I comply with the <br /> Slate Conlraclors Law 18.27 RCW and 236.200 WAC. <br /> Signalure o(OwnedContrector/Aulhonzed Agent Dale <br /> -- --- � : <br />