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r 3 - <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-88'I O-FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.t I �RMR• <br /> %.1�� �� , <br /> E ^( � — <br /> LEGA LOT NO. BLOCK 7AF CT OR SUBDIVISION It /� � L- <br /> DESC. �I��l/ ' � rC� ~ �(�GU� �/e - �Cl.i 7 z. <br /> OWNER AO ESS CRY(clP E ��ZS <br /> �11�� cc,b>��o l� ��GJ�,�r;r S �OZ L[��'�J1" (�� C�v1rC�" �/�Z03 3535s�� <br /> TENA�R NAME I CONTACT FOR PERMIT P�E�{-'ZS 3S 3 ss H ry <br /> ( 1 � <br /> JCcv� l.C.���.�l�r E�ANL ��,,ue�i���r �C�c ..�. <br /> Z`bNTiiA�'� ` �_ e1- <br /> Tu�'�� `l u e ��r ,����.-� NCC 14s Z"`' S�' Sc�c`HCe, �j $ I 55�- <br /> co�.� eNse x 70�3 <br /> �Uc i<Q �x � 3(C('� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SF � I _Electric _Gas_CMhar � � Z��/ �b <br /> r�. �L <br /> WORK DESCRIPTION <br /> �?C�L <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM NO. TYPE OF FlXTURE OR fTEM <br /> Toilet A/C-air handling units <br /> Bathtu6 Forcod air systems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clmhos dryer <br /> Water healer Range hood <br /> Sink(serviceNadmoplotc.) _ Exhausl fan <br /> BacMlow preventer _ Heatpump <br /> Urinal Uni�hea�er <br /> Drinking Foun�ain _ Boiler <br /> Floor drain Refrigaration <br /> Grease trap _ Woods�ova <br /> Rool drains Olher__ <br /> Other <br /> CITY OF EVEHETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritity that I have read and ezamined this appiicalion and know the same to be true and correct. AII piovisions of laws and <br /> ordinaces goveming this type ol rrork vnll be complied with whether specitied herein or noL The granting of a permit does not presume <br /> lo give authoriry to violate or cancel the provision of any olher state or local law regulating construcfion or the pedormance of <br /> constr tion.That I am authorized b the owner ol this property to peAorm Iha work for which applica[ion is made and I comply with the <br /> Slat Co tractors La : 9 RCW a d 296.200 WA� � � � <br /> � � <br /> Signat nor! tre or/ uthonze Agent ale I <br /> ��Z <br />