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P�tRMIT APPLICATIG�V � <br /> CITY OF EVERETT PERMIT SERVICES '= " <br /> 3200 CEDAR STREET, EVERETT,WA 96201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRE3S PARCEL TAX I.D.t� PERMIT N <br /> �o� C,c���-lmo,�� c�� -� <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVI'ION# <br /> DESC. <br /> OWNER ^ AODRESS CITY2IP PNONE <br /> �ct�c�.� ;�rr;<� 5 � �o,� �s s� Frr��;��t/ ��,�c� y�s �� 95 S <br /> TENANTNAME CONTACTFORPERMIT PHONE � <br /> �"� C�L(9)'! �' d� E-MAIL �AeG�J�J,��"�V�st ,�9f <br /> �A� § IZiF�AbAE <br /> CONTR.LICENSE M � � � <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> 'j�� ,�� ,� _Eleclric �Gas_Othar <br /> 1YORK ESCRIPTION <br /> Ti.e��i„� �lu�.�tb,��,�1 ��aaF��,�cc-r,'�u/�RM� /'��/c�'� � <br /> N�P��/'�au 1 ( <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � Toilel NC–air handling units <br /> y��_ Bathlub _ Forced air systems <br /> .� Lavalory(wash basin) Gas piping <br /> Shower � Waterhealer <br /> Kitchen sink 8 disposal Gas tireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> � Watcr heater � Range hood <br /> Sink(service/badmop/elc.) 02 Exhausl fan <br /> Backflow prevenler Heat pump <br /> Urinal Unit healer <br /> _ Drinking Founlain . Boilor <br /> Floor drain Refrigeralion <br /> Grease trap Wondslove <br /> Roof drains Other, <br /> Olher_ <br /> I — — � — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby ceriti(y that I have read and examined this application and know the same to ba We and correcL All provisions of lavrs and <br /> ordinaces yovemir9 this type o(work will be complied wilh whelher specified herein or not.The grenling of a permit does not presume <br /> to c�ive authorily lo violate or cancel�he provision uf any olher slate or local law ree�ulaling conslmc�ion or lhe performance of <br /> consl«iction.Thal I am authorized by lhe owner ol lhis property to pertorm ihe work for�vhich application is made and 1 compty wilh�he <br /> Stale Contraclurs La�v 1II27 RCM�;�cL7.�JG.200\NAC. <br /> / <br /> �,� �3�--�_ �i/G ' <br /> SigrlaNre o( yAied onlractodAulhonzed Agenl ' ale <br /> � <br />