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P�ERMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ����D� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT A <br /> �' � e�(�� � �, t !�{MoRoS�oOi <br /> LEGA LOT NO. BLOCK TRACT O�a SUBDIVISION• <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHOHE �i7S '� Z <br /> � I �^ ��e-h o C' rr. 2 .L2 � (n�PTP�-Y n �lt. � V`�c"�\ _ � s��s <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> 5c�� I�^- E�IAAIL <br /> r R I <br /> J� �7 <br /> CONTR.LICENSE p <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> I,� �, n�� _Eleclric _Gas_Other I <br /> l� <br /> WORK DESCRIPTION <br /> �� S 1 � I � � �� � 1� I� <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C-air handling unils <br /> Bathlub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower ' � Waterheater <br /> Kitclien sink&disposal Gas fireplace <br /> Dishwasher �L Gasrange <br /> Clo�hes washcr Clothes dryer <br /> Walcn c�ater Range hood <br /> Sink(service/barlinop/elc.) Exhausl lan <br /> Dack(low preventcr Heal pump <br /> Urinal Unil heater <br /> Drinking Fountain Boiier <br /> Floor drain Refrigeration <br /> Grcasc trap Woodstovc <br /> Rool drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby ceritify Ihat I have read and examined this applicalion and know the same to be true and corcect. All provisions ot laws and <br /> ordinaces goveminc�this lype of work will be complied with whether speci(ied herein or nol.The granting of a pennit does nol presume <br /> lo give aulhority to vio�ate or cancel Ihe provision of any other stale or local law regulating construction or lhe perlormance of <br /> construclion.That I am aulf orized,6y lhe o�vner of this property to pertonn Ihe work(or which application is made and�comply wilh the <br /> State Contraclors L w 18.'�f�CVJ ar�i 29G.200 NAC. <br /> / ;;' � _J _ .�� <br /> a <br /> Sic�nalure o(Owi edCo trap.o A ionz Agent Dale <br /> ✓ ' <br />