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� PEttMIT APPLICATION <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 3 ���—D � <br /> SITE ADDRESS PARCEL TAX I.D.# P RMI # <br /> /05 30 / �j�' vc � ' ()S -_ // <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> � n f <br /> .�o�X ��',r�'��� 37/� /0�7S�S� _ r✓�%c� 337- o3zS <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> �� <br /> �� OL+ C� G�u,� <br /> CONTRACTORr � ADDRESS �� cirvrzl,P PHONE <br /> GGt"/��f��D� : � /I�.JII IJ—�JP �� L1/[fPll ��5= ��-�1� T <br /> CONTR.LICENSE# ��S'j� <br /> USE OF BUILDING HEAT SOUFCE CONTRACT PRICE OF WORK <br /> c"b <br /> �����, ,_,Electric G�Gas_Other �� ��U(`�. �—� <br /> WORK DESCRIPTION <br /> •T�' C3�« ��. l�s <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet _ A/C—air handling units <br /> Balht�b _ Forced air systems <br /> Lavalory(wash b�sin) _ Gas piping <br /> Shower _ Waler heater <br /> Kilchen sink 8 disposal _ Gas fireplace <br />' Dishwasher _ Gas range <br /> Clothes washer __ Clothes dryer <br /> Water healer _ Range hood <br /> Sink(service!badmop/elc.) _ Exhausl fan <br /> BackOow preventer Heat pump <br /> Urinal _ Unit heater <br /> Jrinking Founlain _ Boiler <br /> Floor drain _ Reirigeration <br /> Grease lrap _ Woodslove <br /> Roof drains _ Other <br /> Other — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify lhat I have read and examined lhis application and know the same to be lrue and correct. A�I provisions of laws and I <br /> ordinaces governing this lype of work will be complied wilh whether specified herein or not.The granting of a permit does not presume <br /> to give aulhority lo violale or cancel the prooision oF any other stale or local law regulating conslruction or the performance of <br /> construction. That I am authorized by lhe owner of this propeAy lo perform the work for which application is made and I comply wilh the <br /> Sl�Contraclors� v 18.27 RCW and 293.200 WAC. <br /> �' �-� <br /> �SiJrature o Owned ct� Authonzed Agent Dale <br /> L/ � ��z <br /> � — - <br />