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P�r2MIT APPLICATIG.J <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98207 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM S -)2-'/(� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT M <br /> �-C_ A ��� • DO C�j•- � <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION It <br /> oEs� S— 3�U ' � . L'� <br /> OWNER ADDRESS CITYIZIP PHONE <br /> gaki ti Z� <br /> "S't�,��� � D�Y>1 - m�e 19 c��\ t .,c��r�. �_,i�e. �u� Z�n-►3&:� <br /> TENANT NAME I CONTACT FOR PERMIT PHONE�42S�Z�p_13 g0 <br /> `, �}- 1 <br /> Z`bR A�(�1 � VF�V`�-Q`D�� \\� E-MAIL <br /> CONTR.LICENSE M <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> C���f ��� _[lectric _Gas_Other <br /> WORK DESCRI TION ' <br /> �� -1'�'�C? � I� �l <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR IT[M NO. TYPE OF FIXTURE OR ITEM <br /> Todet A!C-air handling units <br /> E3alhlub Forced air sys�ems <br /> Lavalory(wash basin) Gas pipmg <br /> Shower Water heater <br /> Ki�chen sink&disposal Gas fireplace . <br /> Dishwasher Gas range <br /> Clothes washer Clo�hes dryer <br /> Waler heater Range hood <br /> Smk (seivice/badmop/elc.) Exhausl tan <br /> Oackllow pteven�er Hea�pump <br /> Urinal Uni�heater � <br /> Dimking 1=ountain Doiler <br /> Floor drain Refrigeration <br /> Grease Irap Woodslove <br /> Roof drains Oiher <br /> O�her <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby cerli�y�hat I have read and examined ihis applicalion and know the same to br lrue and correct. All provisions o(laws and <br /> ordinances governing Ihis lype of work will be comphed with whether specified herein or not.The granling of a permit does nol presume <br /> to give authority to violate or cancel the provision ef any other stale or local law regu�ating construclion or the performance o1 <br /> conslNcSauZat�lam.authorized by ihe owner of Ihis propeAy to periorm the work forwhich application is made and I comply with the <br /> State Conlraclo'l. 1 . W.�n 296200 WAC. <br /> 1 �� �E -- ' -� �- Iz-lc� <br /> , S elure�ol-Owne n(rec or/ ihonzed eq�� Da�e <br /> i <br />