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PERMIT APPLiCAT14N <br /> CITY OF EVERETT PERMIT SEhtVICES <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 3 `�}�� �J <br /> SITE ADDRESS , _ PARCEL TAX I.D.# P RMIT# � r <br /> � <br /> __;t� j,� c��=�� �� • D� �GJ <br /> I LEGAL LOT NO. BLOCI( TRACT OR SUBOIVISION# <br /> DESC. <br /> OWNER AUURESS CITY2IP PHONE <br /> �_����-L� �J� ��1��f���C� 1����_�n��?'t r��7c ���c_��� �v�- �✓��ii �jS-.s� ��S-�7)7- L <br /> TENANTNAME CONiACTFORPERMIT PHONE <br /> E-MAII <br /> RACTOR A 0 E S ITYI <br /> CONTR.LICENSE p <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> ��Ft i/`��=r'v -7/�L. I _Elecinc _Gas_Olher <br /> WORK DESCRIPTION � <br /> _� <br /> � <br /> , � .'� :/�_ � - ' � i.l <br /> PLUMBING � MECHANICAL <br /> NO. TYPE OF FIXTURE OF2 ITEM I NO. TYPE OF FIXTURE OR ITEM <br /> I r Toilel _ !VC–air handling unils <br /> I _ �alhlub _ Forced air syslems <br /> I Lavalory(wash basin) _ Gas piping <br /> Shower Water healer <br /> Kitchen sink 8 disposal _ Gas(ireplace <br /> Dishwasher Gasrange <br /> Gathes washer Clothes dryer <br /> Water heater Range hood <br /> Sinh(servicelbadmoplela) _ Exhaust tan <br /> Backflow prevenle� _ Heat pump <br /> Urin21 _ I Init heater <br /> _ Drinking Fountain . _ Boiler <br /> Flooi drain Refric�eration <br /> Grease lrap _ Woodstove <br /> Roof draine Other <br /> Olhcr __ — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereb��ceritify that I have n;ad and c.:amined Ihis applicalion and know the same lo be true 2nd correcl. All provisions oF laws and <br /> ordinace>governing this t�pe of wcrk will be complied�vith whelher specified herein or noL The granling of a permit does nol presume I <br /> lo give authority lo viotale or cancel the provision of any olher�tate or local law rec�ulating construction or the performance of <br /> construction.Thal I am auC�or.ted by lhe owner of lhis property to perform lhe work(or which application is made and I comply wilh lhe <br /> �I ,Slaie�Co�lractors I_a�y 78.2' RCw and 296.200 WAC. <br /> ., _�1:_ �. <br /> �� ��– •�–•�_ � _. . _ `/ <br /> �' , .G <br /> Signaluro of OwnedContraclor/Aulhorized Agenl Date <br />