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P�RMIT APPLICATIt,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 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT A <br /> �.27_O k.�cs_FELI.F_� o -o� <br /> LEGAL LOT NO. BLOCK TRACi OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> -�,y..�� �,,,aN-�.e A�U9 W�;v�E*� D�.. ��E¢.�;� �9�zb3 �Izs-z�� -74 1 <br /> T�E'"N"ANT NAME CONTACT FOR PERMIT pNONE �1Z� �q_Cj'�.�� <br /> CMP�� SR_VF �"pU�.�L E-MAIL'���`1Cf�C0"+�C�•S}. � <br /> ZrGfdP�AGTf�R � M N <br /> 'SE�� <br /> CONTR.LICENSE p <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �2 _Electric _Gas_Other <br /> WORK DESCRIPTION <br /> �EPLA:_F_ �,JA�FS-r�vPFLy Wn1� FQp� G��1 VC1�vE �r> 'SN,�'..;� �/A�v� <br /> \N GGCA�..L SPA�E , <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIX7�URE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Toilel _ A/C—air handling unils <br /> �athlub _ Forced air syslems <br /> Lavatory (wash basin) Gas piping <br /> SLower Water heater <br /> Kilchen sink&disposal Gas lireplace <br /> Dishwasher Gas rangc <br /> Clothes washer Clothes dryer <br /> Waler heater Range hood <br /> Sink(service/bar/mop/elc.) Ezhaust(an <br /> Backflow prevenler Heal pump <br /> Urinal Unil heater <br /> Drinking Founlain Doiler <br /> Floor drain Refrigeration <br /> Grease irap Woodslove <br /> Roof drains Olher <br /> � Olher ti�s—e�����= <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerili(y lhal I have read and examined this applicalion and know the same to be tnie and correcL All provisions of laws and <br /> ordinaces goveming this type o(work will be complied with whether speci(ied herein or noi. i he granling of a pennil does not presume <br /> lo give authority lo violate or cancel Ihe provision of any other slate or local law regulating consWclion or the performance of <br /> construction.Thal I am au iorized by Ihe owner ol this property to peAorm lhe work for which applicalion is made and I comply wilh lhe <br /> Sl9le Co tr clor/ aw 8 7 RCW and 296.2�00 WAC. <br /> �2�,)�>� <br /> Si �u : wner on ractor/Authorized A ent Date <br /> � <br />