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P�RMIT APPLICATION <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.# PER IT# <br /> ✓,23a =� a�ve i�F Oo '�`� �sao�� �a-e �()�- •� <br /> LEGA LOT NO. BLOCK TRACT OR S/UBUIVISION# <br /> �ESC. � '� t3llntt�{C�trS i C/Ir,;i� <br /> OWNER AODRESS CITYIZIP PHONE <br /> /Cq C 5 �t.rLGi,cJG- J.t,�✓�5 i n� C.J � v1�-337- 7� S 7 <br /> TENANT NAME CONTACT FOR PERMIT PHONE 37' 7�5 7 <br /> r�Kd �--. � �.1 ���('N '. ?�"EITP� �" ��eMa��e,n�/-�7/�1��l�.nsl�V <br /> �fi �Ab�RE$ �`TYIZI N��' <br /> CONTR.LICENSE p ', ' ,�1�, . �• � �• ; � : .�. V��• � ' '.. i 11 r• ' � • . lf�� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Electric _Gas_Other ����� � <br /> WORK OESCRIPTION <br /> ���/ <br /> �l/Etc� Gi9�Zi}C�L <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilcl A/C-air handling units <br /> Oathlub Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Water healer <br /> Ki�chen sink&disposal Gas firoplace <br /> Dishwashcr Gas range <br /> Clolhes washer Clolhes dryer <br /> Waler healer Range hood <br /> Sink(serviceNar/mop/etc.) Exhausl fan <br /> Back(low preventer Heat pump <br /> Urinal Unil heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigera�ion <br /> Greasu Irep Woodslove <br /> Roof drains Olher <br /> Olher _ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br /> I hereby ceritify that I have read and examined this applicalion and know lhe same to be Irue and corred All provisions of laws and <br /> ordinaccs governing lhis type of work will be complied�vith whether specified herein or not.The granting o(a permit does nol presume <br /> to nive aulhority lo violate or cancel Uie provision of any other sla�e or local 12w regulatiog construclion or lhe performance of <br /> constrcction, That I am aulhorized by�he owner ot Ihis properly to pedonn the work for which applicalion is made and I comply with lhe <br /> State Contreclors Law 18.27 RCW and 296.20D WAC. <br /> � � ��� <br /> , �„'.•� ��/�/�> <br /> SignaWre of O�o tractorlAuthoi�zed Agenl Date <br /> _.----- lY <br />