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� — <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—vwvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FrZOM 8 AM TO 4 PM �fl — % 6 �� <br /> SITE ADDRESS vti{"f � W � pARCEL TAX I.D.N PERMIT 1i <br /> 55 3� S �AN� RS� � �� w o�o-�x <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER ADORESS CITYRIP PHONE <br /> J"sh,v �J ����P- Ss33 y�1u,v�rf-A,� �U�-ff, w�l ('Y�f' 3�Iy-KTZ <br /> TENANT NAME I CONTACT FOR PERMIT PNONE <br /> E-MAIL <br /> D <br /> CONTR.LICENSE M <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Ij� S f��.w.�� �ti� ,�Electric _Gas_Other <br /> WORK DESCRIPTION r_ <br /> {'�o�S�vc-trleti/ T" o2P�licr.�L S n:� <br /> PLUMBING MECHANICAL <br /> NO. T"PE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet _ AlC—air handling units <br /> Bathtub _ Forced air syslems <br /> _ Lavatory Iv:ash bas�n) _ Gas piping <br /> Shower _ Water heater <br /> Kitchen sink &disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer _ Clofhes dryer <br /> Water heater Range hood <br /> Sink(servicelbar/mop/etc.) _ Exhausl tan <br /> Backflow prevenler _ Heal pump <br /> Urinal _ Unit heater <br /> _ Drinking Founlain Boi�er <br /> Floor drain _ Refrigeration <br /> Grease lrap _ Woodstove <br /> Root drains _ Other <br /> Other — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I have read anc�,e�lamined Ihis application and know the same to be true and correcl. All provisions of laws and <br /> ordinances governing this type ofwork will be complied with whether specified herein or noL The granting of a permit does nol presume <br /> to give auth�ori y_to-u lat� e or can 'Ihe provision of any other state or local law regulating wnstruction or ihe performance of <br /> cona•iryc-ri6n That I am�++tfr6�by the owner of lhis property to peAorm the work forwhich application is made and I comply .vith the <br /> St�t€CSntractors Law 18.27,FSCW and 296.200 WAC. <br /> � , �—� /G^, o �". (U <br /> / <br /> Signature t-�WnedConlractodAutho ¢ed Agent Dale <br />