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• • <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT ERVICES <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# <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. l .. <br /> OWNER ADDRESSCITY/ZIP <br /> ltd(Vic-�-?0e-TAf WM <br /> TENANT NAME CONTACT FOR PERMIT a PKbNE Z SZ 7-15:3 <br /> i✓ �t►� Okl,�+2 Add-c4t,ti .0 l,. <br /> iis <br /> CONTRACTOR ADDRESS CITY/ZIP PHONE ?E <br /> CONTR. LICENSE# <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Electric :)�,Gas_Other <br /> WORK DESCRIPTION <br /> I:�C—v�,�c,.:,:y'tv� alF �P.�SS�v �rJF Coil t 'l. �:r-�S�t2-t)G•��%�F i��; t�+ �;t` <br /> �MCOTS A 'I <br /> tiC <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinances governing this type of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br /> constru . n. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br /> Stat o tractors L 27 RCDa296.200 WAC. <br /> ) 1 <br /> S gn r of Owne ntrac or/ rized Agent /` ate / <br /> /� <br />