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PERMIT .o.pPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8657—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �Z....f� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> • 8O Z3RO WeS ' ` <br /> LEGA LOT NO. BLOCK TRACT OR SU9DIVISION/ <br /> DESC. <br /> QWNER ADDRESS CITY2IP PHONE <br /> �.VrA�\ •J��. vn �bu ac 5goi zbPO ,J �VeR-e 9�1,03 <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> E-MAIL <br /> '�oc.k.wcl\ �nt�2(��( " <br /> r�o aoX z� o � �Yaa,�oo A W�- 9gay� <br /> CONTR.UCENSE N <br /> �ocl!vJ�S °I3ti OT k25 673 60'I b <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> — -� — ylZ9 � <br /> Electric � Gas Olher <br /> WORK DESCRIPTION <br /> R� � G�5 �, �,� � � -,� � �N F� �.�,o ��s <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE C�R ITEM <br /> Toilet _ A/C–air handling units <br /> Balhlub _ Forced air systems <br /> _ Lavatory(wash basin) _ Gas piping <br /> Shower _ Water heater <br /> Kitche�i sink 8 disposal _ Gas fireplace <br /> Dishwasher _ Gas range <br /> Clothes washer _ Clo�hes dryer <br /> Water heater _ Range hood <br /> Sink (service/barlmop/etc.) _ Exhaust fan <br /> Backflow prevenler _ Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease trap _ Woodstov:: <br /> Roof drains _ Other_ <br /> Other — — <br /> CITY OF EVERETT LOCAL SALES TA7(CODE IS 3105 <br /> i hereby certify ihat I ha� �read and examined ih;application an�know the same to be true and corced. All provisions of laws and <br /> ordinances governing this�ype of Hork will be complied wi!h whether specified herein or not.The granlinr,,of a pertnit dces nut presume <br /> to give authority to violate or cancel ihe provision of eny ot`�er slate or local law regulating constructior+ur the pe.brmance of <br /> constructio,rr1 That I autlw�by e n r of lhis pwperty to perfortn the work for which application is made and I comply wilh the <br /> Sjale COnirac rs L 18.27 RC : 0 WAC. <br /> / ji r _ <br /> ��, ! �t Z ' � <br /> '� Sign�turl ,f Owner/ ontraCto Autho� d enl ate <br />