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PERMIT APPLICATION <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 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT# <br /> i� d ���-� �- rn -o� <br /> LEGA� LOT NO. BLOCiC TRACT <br /> DESC. <br /> OWNER ADDRESS �ITYIZIP PHONE <br /> J�d �ie�- G✓ise: /6d / ��c��� , �ri�ie� YZs'33� -��'.�� <br /> TENANT N E CONTACT FOR PERMIT PHONE <br /> �R�s�✓ Jl`�ln�� <br /> CONTRACTOR ��,��/ ADDRESS CITY2IP PHONE <br /> CONTR.LICENSE# / ������ <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> /J /- c� <br /> /<,d 5 � �Electric _Gas_Other t!� Qv <br /> WORK DESCRIPTION � <br /> �ye,,, �f c✓ � /�+�� <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 /> , K�tchen sink 8 Jia;;osal Gas ti�eplace <br /> Dishwasher Gasrange <br /> Clolhes washer Cbthes dryer <br /> � Water heater Range hood <br /> Sink(service/badmop/otc.) Exhausl fan <br /> Backflow preveMer Heat pump <br /> Urinal Unil heater <br /> Drinking Founlain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Olher <br /> Other <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby ceritily that I have read and examined this application and know the same to be lrue and correct. All provisions of laws and <br /> ordinaces c�oveming lhis lype o(work will be complied wilh whether specified horein or noL The granling of a pertnit does nol presume <br /> to give authority to violale or cancel the provision of any othcr stale or local law regulating consWction or the peAormance of <br /> construction.That I am authorized by Ihe owner of this property lo perform the work for which application is made and I compiy with the <br /> Stale Coniractors aw 7827 RCW ard 296.200W✓AC. <br /> /L i i�, l i/.�"L�- .j�i� jo <br /> Siyna��-Own /Coniractoi/Authorized Agent ' Dale� <br />