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PCRMIT APPLICATIUN <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 A�d TO 4 PM11 6�( g_ G% <br />SITE ADQRESS � PARCEL TAX I.D. # PERMIT' # � <br />> �( <br />�� ✓iJ i i�,,J/a %� ��C�!- �%��� e-� �-fj�. � 7fiil� -� <br />LEGAL LOT NO.r I�,yF-, BLOCK TRACTOR SUBDIVISION N <br />� / <br />DESC. /..3�. c'� .� � � iY'l 7-/�� /'�/�L f1/-�.� ( ��: <br />OWNER ADDRESS CI fZIP PHONE <br />i � r i � i `� , / � /%l.!' �� _ "2� � _ �.! `-'-- ,. <br />�tt � /�'t'i/I �'C�%SLk' •�?.>�_, l' k6 f /-��;- ��z �r=i/ ' `- � y-.: �: <br />TENANfNAME /,� CONTACTFORPERMIT PHONE <br />� r� <br />`,. r�� 1 ��l'�I �" E-MAIL <br />.;y /; ���,��,j <br />CONTF. LICENSE k <br />US[ OF BUILDING <br />WORK DESCRIPTION <br />AUUNtSS i �� <br />� __ y��.� � . � <- �—. ��, r=.'x 1.;, <br />,;�, j ,, <br />k l�s�,�/�t` � ! �h'7�' / % /� jz �t5� j-- <br />NO. <br />NEATSOURCE <br />�ledric Gas Other <br />P�N� <br />' �, <br />�G � _�S!-��%:'�a, <br />- ' � <br />CONTRACT PRICE OF WORK . <br />PLUMBING MECHANICAL <br />TYPE OF FIXTURE OR ITEM I NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />�alhtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dish�vasher <br />Clolhes washer <br />Waler heater <br />Sink (servicelbadmop/elc.) <br />Backtlow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />��o( drains <br />Other <br />NG - air hantllin(] unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas tireplace <br />Gas renge <br />Clothes dryei <br />Range hoad <br />Exhaustfan <br />Heat pump <br />Unit healer <br />Boiler <br />Refrigeralion <br />Woodslove <br />CITY OF EVERETT L(7CAL SALES TAX CODE IS 3705 <br />I hereby cerilify lhal I have read and examined Ihis applicalion and know lhe same to be true and correcl All provisions o( la�vs and <br />ordinaces goveming lhis �ype of work will be cemplied wilh whether specified herein or not. The granling oi a permit does nol presume <br />lo give aulhority to violale or cancel Ihe provision o( any other state or' _:al law regulaling const��ctioi� or the performance of <br />consiruction. Thal I am aulhorized by lhe owner of this property lo periorm the work for which application is made ai �d I comply wifh the <br />Stalc Contraclors Law 18.27 RCW and 296.200 WAC. � <br />�- , /� ��7 � � ; i,�� �.,-, <br />