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PEkMIT APPLICATION <br /> CITY OF " :VERETT PERMIT SERVICES <br /> 3200 Ct�AR STREET, EVERETT,WA 98201 <br /> 425-257-88'10– FAX 425-257-8857 –www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PARCEL TAX I.D.li PE 2MIT M <br /> SITE ADDRESS 1d�yUp� -{� <br /> 7.,25 �c� ' ��^— <br /> LEGH LOT NO. BLOCiC TRACT <br /> �— <br /> DESL. ��Ty�Z�p PHGNE <br /> ADDRESS <br /> OWNER ^� <br /> S'I � �7��!'n�-�SJ.� ��C�-t- ���5 �- �..(:lit_.�- _�-- <br /> � I CONTACT FOR PERMIT PH(1NE <br /> TENANTNAME <br /> CITYIZIP PHJN — <br /> CONTRACTOR .��i .�,^(-�c,� c� ��ah�DRc�C�IY�L� <br /> J ICONTR.LICENSE N ___�— <br /> USE OF BUILOING <br /> I — HEAT SOURCE CONTRIICT PRICE OF WORK <br /> Eleciric _Gas_Other <br /> WORK DESCRIPTION � � <br /> � 11S�4uS. � �'���;-1 �' ��`-:;/"iry�' <br /> MECHANICAL <br /> — PLUMSING <br /> NQ. TYPE OF rIXTURE OR ITEM <br /> NO. TYPE OF FI%Tl RE OR ITEM <br /> A/C-ai�handling units <br /> Toilel Foroed air systems <br /> _ Bathtub � Gas pip�ng <br /> Lavalory(wash basin) Water healer <br /> Shower Gas tiieplace <br /> Kilchen sink 8 disposal � Gas range <br /> Dishwasher Clothes drver <br /> Clolhes washer Range hood <br /> Waler heater Exhaust fan <br /> Sink(serviceNarlmop/etc.) Heat pump <br /> Backflow preventer Unit healer <br /> Urinal Boiler <br /> Drinking Founlain — (�etrigeretion <br /> Floordrain — Woodstove <br /> Greasc trap Olher___ <br /> Roo(dreirts — ___. <br /> _ Other — � _ _ — � <br /> CITY OF EVERETT LOCAL SALES T,'JC CODE IS�1".5 <br /> I hereb�ceritily that 1 have� ad and examined Ihis applicalion anJ Ynow lhe same lo be truc and corcect. All provisions of laws and <br /> ordinaces governinc�Ihis typ�of work wili be complied wilh whethe: specitied herein or not.The granting of a F ermit does nol presume <br /> lo give zuthority to violale or cancel lhe provision of any other stale or local law ree�ulatinc�construction or lhe pedom:3nce oi <br /> construclion.Thal I am authaizr,d by lhe owner o�this property lo perform the work for which application is mtide a�d I wmn!,with the <br /> StaterCoNractors�aw 1827 RCW and 296.200 WAC. <br /> , ,� i � ! 1 _ i -' %'���' <br /> ,. \'Y, f�„��;t �`f DAte <br /> �LLl�:- <br /> Signalure o(Owner/ContraclorlAulhonzed Agent <br />