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P�RMIT 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 S—aO—O� <br /> SITE ADDRESS ., PARCEL TAX I.D.il PERMIT# <br /> h��� r,�.����,� M�gv.5- u23 <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. � <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> /�i� !1 / <br /> !/ IC� , ���r. �.�t.,,` 1.,�,..�c'//\ /��:'c ���J r L,� l_„!". >�li..�i.5 `15�Ls� �/'S b"i�-�_- <br /> TENANT NAME CONTAC/T FOF PERMIT PHONE �,�7., �.7� Z --�— <br /> . _�, � <br /> ���/t� .�7�.. l,t _ �:�.�._:�_— E-MAIL <br /> TR C ADDRESS ITY/ IP <br /> CONTR.LICENSE N <br /> USE OF BUILCING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Electric �Gas_Olher J� � �%L'��:, �%C� <br /> i <br /> WORKDESCRIPTION � - , �•r�+uCc)� <br /> ���2J�—� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Toilet A/C -air handling unils <br /> Balhlub � Forced air systems <br /> Lavalory(wash basin) ;:7� "�'�. Gas piping <br /> Shower Watr.r healer <br /> I(itchen sink&disposal _ Gas tireplace <br /> Dishwasher Gas range <br /> Cblhes washer Cblhes dryer <br /> Waterheater Range hood <br /> Sink(scrvice/badmoplelc.) _ Exhausllan <br /> Back(low prevcnler _ Heal pump <br /> Urinal Unit heater <br /> Drinking Founlain _ Bniler <br /> Floor drain Refrigeralion <br /> Grease Irap _ Woodslove <br /> Roo(drains __ Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9705 <br /> I hereby cerilify that I have read and examined Ihis apPlicalion and know ihe same to be true and correcl. All provisions of laws and <br /> ordinaces governing lhis lype of work will be complied wilh�}�helher speci(ied herein or noL The granting of a permil does nol presume <br /> lo yive aulhorily lo violale or cancel ihe provision o(any other slate or local law regulating consWction or the pertormance of <br /> � conslruclion That I am aulhori�ed by lhe owncr of lhis properly to pertorm the work lor which application is made and I comply wilh the <br /> li �T <br /> Stale Conlratlorfi L�v'18.27�12C1h' and 296200 WAC. <br /> ��' % ,'G;': �'�-"� �/'_! ClJ <br /> Signature of O�timer onlractor/Aulhonzed Ac�ent Date <br /> --- �------ -- <br />