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PE� .MIT APPLICATIOI� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-88�7—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS ��a 3 W����.f��� �'1J1. PARCEL TAX I.D.# PERMIT N <br /> � ,�,�f-E , �►� MoSro -o3� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNEg_�f.1S Vl�n�1'�l/ ADDRESS� � �^'1LI-ntti/+e �v.II�O.� ,�JZOI 3����C <br /> � <br /> C� � 17 <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> CONTR.LICENSE# <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> I`�-C�1'�C _Electric �Gas__Other <br /> WORK DESCRIPTION �/ �, -� j- 't C� r <br /> �1,�, G (, iC, c..� � 7c..Q-L <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-air handling units <br /> Bathlub Forced air syslems <br /> Lavalory(wash basin) � Ges piping <br /> Shower Water healer <br /> Kitchen sink 8 disposal �- Gas firepiace <br /> Uishwasher Gasrange <br /> Clolhes washer Clothes dryer <br /> Laundry tray Ranga hood <br /> Sink(service/badmop/elc.) Exhaust fan <br /> Back(low prevenler Heat pump <br /> Urinal Unit heater <br /> Drinking Founlain Boiler <br /> Floor drain Refrigeralion <br /> Grease trap Woodstove <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have raad and examined this application and know the same to be true and correcL All provisions of laws and <br /> ordinaces governing this type ol work will bc complied wilh whelher specified herein or noL The granting ot a permit does not presume <br /> to give authority to violate or cancel the provision of any olher stale or Iocal law regulating wnstruction or lhe pertormance of <br /> conslruction.That I am author' by he owner ol lhis propeAy to pedorm e work for which application is made and I comply wilh the <br /> Stale�, ��or�w 18 CW zhd�6.200 WAC. //�/�� <br /> A / L/ / /' <br /> � ` l,'�i�' J <br /> a ure of wnedContractodA �ied Agent ` Date <br />