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PERMIT APPLICATION <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />PERMIT <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />m n..oeio-rug.—..m,.rrn_....n�.aa <br />425-257-8810 —FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM e' <br />SITE ADDRESS PARCEL TAX I.D. # ERMIT # <br />r.'O.P :' f J.or�urc.��n� ruax..�ioi <br />LEGAL LOT NO. BLCCK TRACT <br />DESC. <br />OWNER ADDRESS CITY2IP PHONE <br />N <br />TENANT NAME <br />.�N/ <br />ei <br />CONTACT FOR PERMIT ONE <br />CONTRACTOR ADDRESS CITY?.IP PHONE <br />CONTR. LICENSE N <br />��:.v��vireiva—v«� <br />USE OF BUILDING <br />HEAT SOURCE ' <br />.wun�rni ev o= <br />CONTRACT PRICE OF WORK <br />Electric Gas Other <br />I <br />WORK DESCRIPTION <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO, TYPE OF FIXTURE OR ITEM <br />_ <br />Toilet <br />A/C —air handling units <br />_ <br />Bathtub <br />Forced air systems <br />r <br />Lavatory (wash basin) <br />Gas piping <br />_ <br />Shower <br />Water healer <br />_ <br />Kitchen sink 8 disposal <br />Gas fireplace <br />_ <br />Dishwasher <br />Gas range <br />_ <br />Clothes washer <br />Clothes dryer <br />_ <br />Water healer <br />Range hood <br />_ <br />Sink (service/bar/mop/etc.) <br />Exhaust fan <br />Backgow preventer <br />Heat pump <br />Urinal <br />Unit heater <br />_ <br />Drinking Fountain <br />Boiler <br />Floor drain <br />Refrigeration <br />Grease trap <br />Woodstove <br />Roof drains <br />Other <br />Other <br />_ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerility that I have read and examined this application and know the same to be We and correct. AI! provisions of laws and <br />ordinates governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to fatale or cancel the provision of any other state or local law regulating construction or the performance of <br />construction. T I agar i ed by the owner I-iMs property to perform the work for which application is made and I comply with the <br />State Coalr rSt�aw 78 RC'N and 0 WAC. <br />S' of OWR� onlraclor/Authorized Agent to <br />