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� P�RMIT APPLIC�TI�N <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 /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � — f 2—D`7 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT�#; <br /> 1 � ^ 1'� c�}' . r � ' !1 ') r i' /C-/ �� 7� <br /> � lJ <br /> L[GA LOT N0. BLOCK TflACT OR SU'oDIVISION p <br /> OESC. <br /> OWNER ADDFiESS CITYZP PHONE <br /> ( � �� ��- ' �� � � _ <br /> ENANTNAM I CONTACTFOfl PEHMIT PHONE . <br /> E•MAIL <br /> �p�pp�� �� ��\��(� � AOD 5 GT 21P PNON <br /> �'\ 1 \`Q �\1�`� U�.9-�� ��� �} $,� �,� � ��I �� �`l � <br /> CONTR.LICENSE \� y�1�� ._ ^ ��� I `1�1�� <br /> 'J`�p�-L v � � ' _ C <br /> USE OF BUILDING ' HEAT SOURCE CONTRACT PRICE OF WORK <br /> Electric Gas Other <br /> WORKDESCRIPTION `_,r.`„ a„ r.-i � 1��', ��, cn�e �:..�d 1�\ �;.a.ar a.�c. o'�•.c �? ,- _, .,. . „ -� . <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF Fl%TURE OR ITEM NO. TYPE QF FIXTURE OR ITEM <br /> Toilet A/C–air handling units <br /> atn�ub _ Forced air systems <br /> Lavatory(wash basin) __ Gas piping � <br /> Shower� Water heater <br /> = Kitchen sinR' isposal — Gas fireplace <br /> D�shwasher Gas range <br /> Clothes washer \ __ Clothes dryer <br /> Watcnc�aler Rangc hood <br /> . Sink(service/bar/mop/etc.) _z Exhaus�fan <br /> _.. Backflow preventer _ Heat pump <br /> Urinal Unil healer <br /> _ Drinking Fountain _ Boilcr <br /> Floordrain _ Rofrigeration <br /> Grease trap Woodstove <br /> Rool drains Other _ <br /> Other _ _._— ____ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> �hereby ceritily ihat I have read and ezamined this application and know the same to be true and correcL All provisions of laws and <br /> ordinaces goveminc�Ihis type o�work wiU be complied with whether specified herein or not.The granting ot a permit does not presume <br /> to give authority�o violate or canccl the provision of any other state or local law regulating construction or the performance ol <br /> consiruclioq.Tha�I am authorize�lby Ihe owner ot lhis property to perform�he work for which applicalion is made and I comply wilh the <br /> Stale Co=�ctors Law 1 27 RCW and2 6200 WAC. <br /> �,,,, ��_. �C'�`L 7 f�_ �' , <br /> Signature� OwnedContrectodAuthorized Agent Date ' <br /> i <br /> i <br />