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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SER�IICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 — FAX 425-257-8857—www.everettwa.org <br /> APPLIG.4TIONS ARE ACCEPTED FROM 8 AM TO 4 PM q--OGj� <br /> SITE ADDRFSS ���� ` PARCEL TAX I.D.# PERMIT# <br /> `' y�`�3 � -��Ctj � <br /> y92,-/ � f}l � <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> M � c�f� a c:f L' C'.-�z � s I��, z <br /> TENANTNAME CO/NTACTFOR PERMIT PHONE <br /> ��� r�"�I�hlv �i'IZI ✓Y71�•C:'`� 1�U(�IC�S A�SR �I E•MPJL <br /> CO�TRACTGR — AD�RESS � CITYIZ PHONE <br /> CONTR.LICENSE# <br /> CcJ yJ��i— _ <br /> USE OF BUILDING HEA1 SOURCE CONTRACT PRICE OF WORK <br /> Electric Gas Other <br /> WORK DESCRIPTION <br /> \C_�,� <br /> I�4��'�,��o � G7�� ' � PU� S I � C�'Li v� C�vJr%1J-i_q�_ <br /> PL MBING ` MECHAiJICAL <br /> NO. TYFE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A'C-air handling units <br /> Balhtub Forced air systems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower Waler heater <br /> Kitchen sink&disposal _ Gas fireplacc <br /> Dishwasher Gas range <br /> Clothes washer Clolhes dryer <br /> Water heater Range hood <br /> Sink ;service/badmop/etc.) _ Exhaust fan <br /> Bac; :low prevenler _ Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease lrap _ Woodstove <br /> Roo(drains Olher _._ <br /> Other __ — , <br /> — -- I — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and axamined lhis application and know the same to be true and correcL All provisions of laws and <br /> ordinaces govemirg lhis type o(wo�k will be complied with whether specified herein or nol.The granting of a permit does not presume <br /> to give authority to v�ola�ol cancel the provision of any olher state or local law regulaling conslruction or the performance of <br /> construclion. That I arp aut�orized by the owner of this property to periorm the work for which applicalion is made and I comply with lhe <br /> Sla tr ors LaCv 1g.27 RCW and 296.200 WAC. <br /> � I��' �5 �' <br /> ign / o nedConlractodAuthorized A�ent ate <br />