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PERMIT APPLICATION <br /> CITY OF EVGRETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-7_57-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS I (� I Vt S T�E IL PARCEL TAX I.D.A PERMIT# <br /> � EvE2e rr w G d ` 7/Z �C% <br /> LEGAL LOT N0. BLOCK TRP.CT J�SUBGIVISION p <br /> DESC. <br /> OWNCR ADDI:ESS CITYIZIP pHONE <br /> LE i G t+7o n1 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> E-MAIL <br /> ONTRACTORLO)rAL MEGN�QN1 �„y A DRE S C / IP PHONE <br /> � L �N��0� Z4v� N,,V �� Zo�_�84-$oZ9 <br /> CONTR.LICENSE p OYA C�M I I 4'��0� SE�TrL� W�A- �g��7 -�'y"�'R <br /> USE OF 6UILDING NEAT SOURCE � CONTRACT PRICE OF WORK <br /> � �Eleclric _Gas_Other ,3, ���O <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITE�1 NO. � TYPE OF FI%TURE OR ITEM <br /> 1 Toilel _ FVC-air handling units <br /> � Bathlub _ Forced air systems <br /> � Lavalory(wasn basin) __ Gas piping <br /> Shower _ Walcr heater I <br /> �_ Kitchen sink&disposal _ Gas fireplace <br /> �_ Dishwasher _ Gas range <br /> J_ Clolhes washer _ Clothes dryer <br /> � Waler heater _ Range hood <br /> J Sink�serviceNadmopletc.) _ Exhaustfan <br /> Backllow preventer _ Heat pump <br /> Urinal Unil heale� <br /> Drinkin9 Fountain 1_ Eoiler <br /> Floor drajn _ Rsfrigeration <br /> T Grease i� _ Woodstove <br /> Roo(drains Other <br /> Other <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritily lhat I have read and examined Ihis applicalion and know Ihe same to be Irue and correcL All provisions o(laws and <br /> ordinaces governing this lype of��vork will be complied wilh whelher specified herein or nol.The granling of a permil does not presume <br /> to give aulhorily to violate or cancel Ihe provision of any olher stale or loca�law reyulaling construction or the performance o( <br /> construction.Thal I am authorized by Ihe owner of lhis property to perform the work for�vhich applicalion is made and I comply wilh lhe <br /> Stale Conlraclore Law 18.7,7 RCW and 296.200 WAC. <br /> I �A�_—�_ � 11�I o -�- <br /> �S`ignaWre o�w�reclodAulhorized Agent ' Dale <br /> l— . _ /-- --- - --- — <br />