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�CRMIT APPLICA�IUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32Q0 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 <br /> SITE ADDRESS '� L� rI� PARCEL TAX I.D.# PERMIT# <br /> yp � �o SI 9ao 00 400 � - L <br /> LEGA LOTN . BLOGK TRACT <br /> DESC. <br /> OWNEq ADDRESS CITYIZIP PHONE <br /> C��`��hrL �� QE �o.� / 3 93 ��m� � �%f�- � '�lQ �07 <br /> ��t'I ����� N ` CO��� R PERMI'i �����PHONE <br /> iy � /y� <br /> C �Di(.� l///-L� .1 <br /> C TRACTOR � ADDRESS s' I O h��...I�b. TY21P PHONE <br /> ��u��TM ���1�.�c�l ��,6����� Se�;.4f�- i����`1'8��2� �u��`�' <br /> CONTR.LICENSE# � - <br /> K�Ula)� ' � .( S P _ c�.�-,F�'--��,/{I- <br /> USE OF BUI DING HEAT SOURCE CONTRACT PRICE OF WORK' <br /> � �f�0 �� — _Eleclric _Gas__Glher � � �3 S�b <br /> �' i <br /> WORK DESCRI?TION <br /> �,, « ti.� .-/��, ��a�c. �«�,� �-- <br /> PLUMBING MECHANICAL <br /> NO. T'PE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C–air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) � Gas piping <br /> Showe; Waler heater <br /> Kitchen aink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Cblhes dryer <br /> Water heater Range hood <br /> Sink(service�badmop/etcJ Exhaust fan <br /> _ Backtiow preventer _ Heat pump � <br /> Urinal Unit heater <br /> Drinking Fountain Boiier <br /> Fioor drain Refrigeration <br /> Greaselrap VJoodstove <br /> Roo(drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriti(y that I have read and examined ihis application and know the same to be true and correct. All provisions of laws and <br /> ordinaces governing this type of work will be comp;ied with whether specified herein or not.The granting of a permit does not presume <br /> to give aulhoriry to violate o�cancel lhe provision ot any other slate or local law regulaling conslruction or lhe perfortnance of <br /> consiruc n.That I am aulhorized by lhe owner of ihis property to periorm lhe work fer which application is made and I comply wilh the <br /> Sta1e Con r clors L 27 RCW and 296.200 WAC. <br /> , E,�,,;�c ,ti,.- �� 2 � 2w �� <br /> Signature�OwnedConlractor �dAgent � at� �/ <br /> � — y <br />