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�`RMIT APPLICATIC,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 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.� PERMIT# <br /> l?�'3�� Cz-�--�����.��.-Yz- JSG: , <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHON <br /> i�,2i co�c�y �.v,� �atTY 4C-�ecaDT" <br /> pzoVip�lCC �"�ED1 CA� CL.TI��. ���� q�1p(n �`�2S) 2td-4o89 <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> r� A, srr� �-1-P.C-c c-R (42s� 3y � -0001 <br /> CONTRACTOR ADDRESS CITY2IP� PHONE <br /> CONTN.LICENSE A <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ��5��� pY� �ElecMc '�Gas_Other <br /> WORK DESCRIPTION <br /> �-lst.•U GK��`� OiJ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NU. TYPE OF FIxTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systeins <br /> Lavatory(wash basin) Gas piping <br /> Shower Waler healer <br /> Kilchen sink&disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink (service/badmop/elc.) Exhaust tan <br /> Backflow preventer Heat pump <br /> Urinal Unit healer <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease lrap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> I hereby centi(y that I have read and examined this application and know the same to be lrue and correcL All provisions of laws and <br /> , ordinaces goveming Ihis type o(work will be complied wilh whether specified herein or noL The granling of a permit does nol presume <br /> � to c�ive aulhonty tc violate or ca cel Ihe provision of any other state or local law regulating construction or the performance of <br /> construction. Th I am authon d by the cwner ol lhis property to perform Ihe work(or�vhich application is made and I comply with the <br /> Stale Co Law 78.27 R W and 296.200 WAC. <br /> (�� 3 oS <br /> Signaw e of Owned uthorize Agent Date � <br /> � � <br /> I <br />