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P�RMIT APPLIC.4TION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, VvA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everetiwa.org <br /> APPLIC 4TIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS � PARCEL TAX I.O.# PER IT# <br /> �. �� U . :�/� , ;I �2 � '� / -C�I <br /> LEGAL LOT N0. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER AODRESS CITYIZIP PHONE <br /> ,,?;,� c�-1- .��s-;: 1/- ,. �- ,��.� .,�f�.�'� �rfC� <br /> TENANTNAME � CONTACTFORPE MIT �FHONE <br /> r � �-. � <br /> '—�:r�7vf�i:^ �'. ��,r�CCirI ; --�IU� � ) ' <br /> CQ RACT R�,U�;' /+'G �'^�;y� \(� AD RESS/� 5 I P PH ��-L./. <br /> f G 1!'i.Vl t/l.'1�,�L� 3tl!"J �� ' _ O / - <br /> ,CONTR.IICENSEaysTt� �6�� �1} � IS J � �4'3 <br /> DivC�r�1S9z<��� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Eleclric _Gas_Olher 1�:�� <br /> WORK DESCRIPTION - . - <br /> .1-, <br /> � � �� C jv ,i i< / � .�1/ �,�. � Yr'-.�'t/'_ ,--i �'.��t��'l ;�'-�� � ✓�'_' <br /> . - � �-. <br /> � �c .�..-n c'-^ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-air handling unils <br /> 6athlub Forced air syslems <br /> -- Lavatory(wash basin) _ Gas piping <br /> Shower Water L,aler <br /> Kilchen sink&disposal _ Gas lireplace <br /> Dishwasher Gas ranyc <br /> CloOies washer Clothes dryer <br /> Waler healer Range hood <br /> Sink(service/badmop/elc.) _ Exhaust(an <br /> Backflo�v prevenler _ Heal pump <br /> Urinal Unil healer <br /> I Drinking Founlain _ Boiler <br /> Floor drain Refri9eralion <br /> Grease trap _ Woodstave <br /> Roof drains Olher _ <br /> Olher <br /> CITY OF EVERETT LOCAL SAIES TA%CODE IS 3705 <br /> I hereby ceritify that I have read and examined lhis application and kno�v lhe same to be lrue and correcL All provisions of laws and <br /> ordinaces goveming lhis lype of work will Le complied wilh whelher speci(ied herein or nol The granling o(z permit does' ��� vesume <br /> to give authority�o violate or cancel lhe provision of any olher slate or local law rec�ulating consWction or ihe peAormancr o; <br /> conslru,..ion. Thal I am auUiorized by lhe owner ot lhis property lo peAorm lhe work(or which application is made and I a:mply wilh the <br /> Stale Conlractors Law . Z.�2CW and 2�J6200 WAC. <br /> Q � <br /> � 1 ,(,l, — <br /> Siga e d Owne/ /Aulhorized AgeN D e . � <br /> jL <br />