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PtRMIT APPLICATIUN <br /> CITY OF EVERETT PERIVIIT 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 /> SITF ADDRESS PARCEL TAX I.D.# PERMIT# <br /> r'� t��3 �,..� .�� �� � U � ��� �vl `� <br /> LEGAL LOTNO. BIOCK TRACT <br /> DESC. <br /> OWNER ADDRE55 CITYlZIP PHONE <br /> ' � <br /> `�� --l-� , ���rJ t��o��1 ��cD+�.��r-T- z�.s3 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> CONTRACTOR ADDRESS CITY/ZIP PHONE <br /> CONTR.LICENSE N / - <br /> ✓!-f r--�--u� <br /> USE OF BUILDING / HEAIT/S011RCE CONTRACT PRICE OF WORK <br /> �J��/'� v EleGric v Gas_Other <br /> WORK DESCRIPTION <br /> �'r1�L7�1�f ,���-� �� ��. <br /> r_ <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FIXTURF OR ITEM NO. TYPE OF FIXTURE OR I1EM <br /> Toilel A/C—air handliny units <br /> Bathtub Forced air syslems <br /> _ Lavalory(wash basin! �� Gas piping <br /> Shower Waler healer <br /> Kilchen sink&disposal Gas fireplace <br /> Disl'�washer Gas range <br /> Cbthes washer Cbthes dryer <br /> WaLr heater Range hood <br /> Sink(scrvicelbadmop/elc.) _ Exhausl fan <br /> BacF�.(Iow prevenler Heal pump <br /> Urinal Unit healer <br /> Drinkinc� fountain Boiler <br /> Floor drain Refrigeration <br /> Grease irap Woodstove <br /> Roo(drains Olher _ <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby cerili(y thal I have read and examined this applicalion and know Ihe same to be irue and correcL All provisions o(laws and <br /> ordinaces governing thi,type of work will be complied with whether speci(ied herein or noL The granting of a permil does nol presume <br /> to giv aulhoriry to violate or cancei the provision of any other slale or local law regulalinc�construction or the performance o( <br /> corJslr�clion.Thal I am auJJJ iorized by�he owner o(liiis property to perbrm the work for which applicatior�is made and I comply wilh lhe <br /> ' ale onlreclorg� 1A�2 RCW an�WAC. � ' � ^� <br /> � / � <br /> ' Signalure o(OwnedConlractodAuthorized Agent Dale <br />