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F �RMIT APPLICATI�.N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org 5 --ay �oS <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM - DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> SITF ADDRESS�_ PARCEL TAX I.D.# PERMIT N <br /> �:. � �,a. . ' ��� ��-� �� =� I ga 5o S—o ag <br /> LEGAC LOTNO. BIOCK TRACT <br /> DESC.r I <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> _.���'' �� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> I /9'l/��LZ �c�'721� �jv 7l 7n- lo J�� � <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> CONTR.LICENSE# <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> /(��-� `'.� �`� �/ _Electric _Gas_Other � C,nC� <br /> —L� <br /> WORK DESCRIPTION <br /> 4��-� ���./cn �� <br /> 11 <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 /> Kitchen sink 8 disposal Gas lireplace <br /> Dishwasher Gasrange <br /> Cblhes washer Clolhes dryer <br /> Laundry iray Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> Back(low prevenirr Heat pump <br /> Urinal Unit heater <br /> Drinkinc� Founlain Boiler <br /> Floor drain Refrigeralion <br /> Grease lrap Woodslove <br /> Roof drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify Ihat I have read and examined this applicalion and know the same to be We and wrrecL All provisions of laws and <br /> ordinaces governing this type of work will be complied wilh whether speci(ied herein or not.The granting of a permit does not presume <br /> to give autlionry to violate or cancebihe provision ot any other state or local law regulating consWction or lhe performance of <br /> consWclion.That I am,authorized by the owner o(this property to perform the work for which application is made and I wmply with the <br /> State Conlractors L�vo 18.27 FtCWTnd 29y.200 WAC. <br /> � '��� / _ '� -�� ��/ 7 D � <br /> ��%f"'�. '_'.--�' <br /> �ianaZt re of �wnedConlraclodAuthonzed Agenl ate `I <br /> �1 <br />