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� <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVlCES <br /> 3200 CEDAR STREET, EVERETI', WA 98201 <br /> 425-257-8810— FAX 425-257-8857— ,aww.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM i0 4 PM / z ,..��Q 6 <br /> SITE ADDRESS �7 PARCEL TAX I.D.# �7 PERMIT q <br /> O �jbJ l�vC�� OISOO � LoII ' O �'�J <br /> LEGA LOTNO. •BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE55 CITY2IP PHONE <br /> i <br /> 1/ C��s� Za2� 6 . . � / Z5� S,6 <br /> TENANTNAM CONTACTFORPERMIT PHONE <br /> �/� �� Ci�f�,� yzs3gs- qsi6_ <br /> CONTRACTOR /,?, �� ADDRESS CIN21P PHONE <br /> f� � <br /> CONTR.UGENSE N �� � � <br /> �.,J\.1 J . _ <br /> � <br /> USE OF BUILDING HEAT SUURCE CONTRACT PRICE�f WORK <br /> /����� /� __Eleclric _Gas_Other ,`��- �/ <br /> �J� " � <br /> woRK oesc IPTION � �����d0v� d 1��S�i�dP,/'�- �a!'2 d��[ sel""' `" �" <br /> , Q �ot�l��°iL <br /> ��Clti�/F� l!/D.�.�S��dP�• <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITER; <br /> Toilel A/C–air handling unils <br /> Dathlub forced air syslems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water hea'er <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas ren�e <br /> Clothes washer Clolhes dryer <br /> Waler healer Range hood <br /> Sink(serviceNadmop/etc.) Exhaust fan <br /> Backflow prevenler Heal pump <br /> Urinal Unil heater <br /> Drinking fountain Boil�r <br /> Floor drain Refrigeralion <br /> ^ Grease trap Woodstove <br /> Roof drains Olher <br /> Other <br /> � — — — <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CQDE IS 3i05 <br /> I hereby ceriti(y that I have read and examined this applicalion and know the same to be lrue and correcL All provisions of laws and <br /> ordinaces goveming Ihis lype of work will be cornplied with whether specified herein or nol The granting of a permit does not presume <br /> to give authonty to violala or cancel lhe provision ef any other stale er Iocal law regulating construclion or ihe performance ot <br /> construction.Th2t I zm au!r�riz.d by lho owner o(Ihis property to perlorm the work lor which application is made and I comply with the <br /> Slale Conir ors Law 8.27 R W and 29G.200 WAC. <br /> 9__��y�,� 1� 9 �� � ��L? <br /> Si nd u�ef Owi.erl nlraclor/Authonzed A enl Da � / <br /> !z <br />