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P�RMIT APPLICATIG�� <br /> CITY OF EVERETT PERMIT SERVlCES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIQNS ARE ACCEPTED FROM 8 AM TO 4 PM /� _.� 7�('� <br /> S�TE ADDRESS PARCEL TAX I.D.# PERMIT t <br /> ���'° .�i � , �l r-_ `f i����y /1�9iz 3/ <br /> LEGAL LOT NO. BLOCK TRACT OR SUBOIVISION M <br /> DESC. <br /> OWNER q ADORESS CITYIZIP PMONE <br /> t �, , � S��It.l�n� ,_ �.�26� <br /> TENA� NAME � CONIACTFORPERMIT PHONE <br /> I E�NIAII <br /> ,Jvt1u S�cs�rA� :zG.�� a<fr� � � - �cur `�p.� z���?�l-tG�y <br /> CONTR.LICENSENn;aU��it7 ���/�q��/�-�((�,r7/{,�nj <br /> � �-IO /� -�c rr/�J- � r Cvti <br /> USE OF BUILDING HEAT SOURCE I C TRACT PRICE OF WORK <br /> _Eleciric�,Gas_Other l��,�� <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Toilet A/C-air handling unils <br /> 6athlub I Forced air sys�ems <br /> Lavalory(wash basin) � Gas piping <br /> Shower 1 Walerheater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher _L Gas range <br /> Clothes washer Clothes dryer <br /> Waler hoater Range hood <br /> Sink(service/badmop/etc.) _ Exhaust tan <br /> Back(low prevenler _ Neal pump <br /> Urinal Unil healer <br /> Drinking Founlain _ Boi�er <br /> Floor drain Re(rigeration <br /> Grease Irap _ Woodstove <br /> Roo(drains _ Olher <br /> Other _ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby cerilify lhat I have read anJ examined ihis application and know Ihe same lo be We and correct. All provisions ot laws and <br /> ordinaces governin�Ih�s lype of work will be cumplied wilh whether speci(ied herein or r.ot.The granting o(a permil dcv,not presume <br /> to give authorily lo violate or cancel lhe provision of any other stale or local law regulating consWction or the peAorm;�.�ce oi <br /> construction. That I am authorized by the owner of lhis property lo perlorm Ihe work for which application is made anu I comply wilh the <br /> St le Cailractors Law 8.�27 RCW and 29f 200 WAC. � <br /> i j��✓rt, .�l�:--, /-,. „/�"� �� H ' �/�l <br /> Wre ol OwnedConlrac IALihonzed Agent Date <br /> � <br />