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< <- <br /> ; -- � <br /> PERMIT APPLICATION <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 q_a a `�D <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT M <br /> • M � -c�� <br /> LEGA LOTNO. BLOCK TRACTORSUBDIVISION• <br /> DESC. <br /> OWNER ADDRESS CITY2IP y� MONE d��^ _ <br /> lw <br /> ��. ; �� f�a.ett- 3c��► c�d�r,�b+ f,���tf� `t�na- Zs�-�8� <br /> TENA�NT NAME � CONTACT FOR PERMIT PHONE �J�'�v �f 8 � <br /> I�GI��� kl E�NIAILK�J�A O It�Vf�AC•( r� <br /> �au�� •K.• �yskn.s c►..� p� �88t� ,•��n�iv. 3ce� <br /> CONTR.LICENSE M �iZ,33 ��^I r� <br /> b�SYs`L��ui <br /> USE OF BUILDINr, HEAT SOURCE CONTRACT PRICE OF 1YORK <br /> �Electnc�Gas_Other �S ��(� . (� <br /> WORK DESCRIPTION <br /> ��1.(.fi -��L���1'�, �.IJYI�� '� w�� �� �t'}'� 1`�l.l �� LlA'�i-� <br /> I <br /> IPLUMBING MECHANICAL <br /> j NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTIRE OR ITEM <br /> I Toilet AIC-airhandlingunits� <br /> Bathtub � Forced air systems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower _ Water heater � <br /> ! — Gas fireplace <br /> Kitchen sink&disposal — <br /> Dishwasher Gasrange <br /> Clothes washer _ Clothes dryer <br /> i Waler healer Range hood <br /> I = Sink(service/bar/mopletc.) � Exhaust fan <br /> Backflow preventer � Heat pump <br /> I = Urinal � Unitheater- c��c�r�L <br /> Drinking Fountain Boiler <br /> Floordrain _ Refrigeration <br /> Grease trap _ Woodslove <br /> Roof drains _ Other <br /> Other — <br /> � CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> I hereby certiy that I have read and examined Ihis application and know lhe same to be true and correct. All provisions o(laws and <br /> Iordinances�overning this type of work will be complied wilh whelher specified herein or not.The granling of a pertnil does not presume <br /> to give authonly lo viola�e or cancel the provision of any other state or local law regulating consWclion or the per:"mance of <br /> IIconstruction.That I am aulhorized by the owner of this property to pedorm the work for which application is mede t ' I comply with the <br /> State Coniractors Law 18.27 RCW and 296.200 WAC. <br /> �(770� t'+ ' <br />