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PtRMIT 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 B AM TO 4 PM 6�,�j�-O� <br /> SITE ADDRESS PARCEL TAX I.D.# ERMIT X <br /> � , , _ C�� - 33 <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVI510N N <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> TENANTNAME CONTACTFORPERMIT , PMONE i/j� h,�� ,�j,��_� <br /> I / �1� �'� /1�`� <br /> ,�C�., r�',c� TEn�y i,�u�nn� � - <br /> �aar� F , <br /> CONTR.LICENSE# <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> Electric x Gas Other <br /> WORK DESCRIPTION <br /> QL���.L�Pf�,��� 171:�/�'J// <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C-air handling unils <br /> Bathtub Forced air syslems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Watcr heater <br /> I:itchen sink 8 d'sposal _ Gas lireplace <br /> Dishwasher Gas range <br /> Clothes washcr _ Ciothus dryer <br /> Waler healer Range hood <br /> Sink(service/bar/mop/elc.j _ Ezhaust lan <br /> l3ackllow prevenlcr _ Heat pump <br /> Urinal Unil healer <br /> Drinking Founlain _ Boiler <br /> I Floor drain Re(rigeration <br /> Grcase lrap Woodstove <br /> Roo(Jrains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODF�S 3105 <br /> I hereby cerility that I have read and examined this applicalion and know the same ro be lrue and correct. All provisions o(laws and <br /> ordinaces goveming lhis type o(wcrk will be complied wilh whether specified herein or noL The c�ranting of a permit does nol presume <br /> to give aulhoriry;o viulate or cancel;h�pr risic n of any othcr state or local law rec�ulatin�construction or the pedomiance o( <br /> construclion.That I am autherized�;�U .o�vncr o(lhis property to peAorm the work for�vhich application is mado and I comply with the <br /> Stale�Conlractors Law/f8.27 RJLV��� 296.200�VAC. <br /> `-JC'' ✓ ' �. _�j/�`n-�/ <br /> Signalure o(OwnerlContraclorlAuthonzed A9enl Date / <br /> IIZ <br />