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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERET7, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www,everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT S CREOIT CARDS ARE NOT ACGEPTED <br />SITE MDRESS <br />LOT N0. <br />PARCEL TAX I.D. � <br />s r s r.� _. �b5�� �ao <br />BLOCK TRACT � <br />�Nrrw w� t^t-t �-s `7�iS �lsr 5�' sc�1 � <br />TENANT NAME cONTACT FOR PERMR <br />I � /'�'S��9r.) �M c C-t r <br />CONTRqGTOR ADDRES� <br />D�Y •t �i� rL� PLur�.dG, d- I+ i%- I(aL(c f; 37�,¢�. u� <br />caNrn, ucer+se r _ <br />USE OF BUILDINO <br />N,�P N-o�F�(C� <br />k <br />PHONE <br />�zs--��s-��(�y <br />CITY2IP <br />LYitJ�v <br />� sc37 <br />PHC�NE <br />�zs-��s-���Y' <br />HE�4T SOURCE CONTRACT PR10E OF WORK <br />_ Electric _ Gas ` Other I� 3, —rj�� .. OU <br />WORKDESCRIPTION �-�sj�� ��w ���� s��t� <br />FRonn.. �-'� <br />ft���- ra rµe� mEr�. <br />N0. I TYPE OF FlXIVRE oR �TEM <br />Toilet <br />,_, Bathtub <br />� tavatory (wash basln) <br />Shower <br />� Kttc�en sfnk & di>posal <br />Dishwashsr <br />� Ciothes washnr <br />� Laundry Vay <br />Sink (servlcy/badmop/etc.) <br />_ Backllow preventer <br />Urinal <br />f7rinking Founlain <br />Floor drain <br />Grease Irap <br />� Roof drains <br />_I OtherCllMV W�T� �j�/Zi/1G� <br />NO. I 7YaE OF PIX'RlRE OR IT�M <br />A1C — air hantlling unifs <br />Forced air systems <br />Gas piping <br />W�ter heater <br />Gae fireplace <br />Gas r�nfle <br />Clothes dryer <br />Range hood <br />Fxhauslfan <br />Heat nump <br />Unit heater <br />Boiler <br />ReMgeratian <br />Woodstove <br />Other <br />qTY OF EV6R8'fT IOCAL SALES 7AX COOE I� 7105 <br />I heroby cerifify thet I have r, _! and examined Nis applicatlon and know the same to be ttda and cortect All prUvielonB of lawe and <br />ordlnaces governir.g this rype of work will be compliad with whather specified herein cr not. The grenUnQ of e permif does nat presume <br />�^ give authoriry to violate or cancel tfie provision of any omer eWte or local law regulatinp wnstructlon or the perfortnance o( <br />sherJon. T?,at I am authonzed by �he owner of �his property to perform ffie work for whlch applieadon is made and I comply with the <br />..aL• Co�ctors Law 78,27 RCW end 29E.200 4VAC. <br />. _ i�y;�:'; sui�eaN �a �u�q�iald a�IN �' �ed—�tid0y�E -9001 'L •un <br />