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� <br /> PtRMIT APPLICATIC�N <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 B AM TO 4 PM `�`) —�s <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# C _ <br /> � � -Ih ,� S� �a � (��3 � �� r�o <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITYIZIP. ��� �r�NE 33 j- � <br /> ��r,S�- h��z/ ��f��`e, ��a 9 �i��'9,'.P�rii/�E��ere�' -rl'd'�ol � <br /> TENANTNAME CONTACTFO PERMIT PHONE <br /> '��,�� �/ � �r��� � - y�a 9 <br /> U I VI n TO ��L�,%R f WF S�" C�(iYl,yr� ADDRE55 CITYIZI PHONE <br /> CONTR.LICENSE# �ol iJ O /(L-�/�6 / <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> n„ _�m I�, �� •J7� �Eleclric _Gas_Other <br /> � rr <br /> WORK DESCRIPTION <br /> I i�S��rll������ �� �i� 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 /> Balh(ub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Cblhes dryer <br /> Laundry iray _ Range hood <br /> Sink(service/bar/mop/elc.) _ Exhaust fan <br /> Back(low prevenler Heat pump <br /> Urinal Unit heater <br /> Drir�king Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove '/ <br /> Roof drains Other Tl , In,� <br /> Other <br /> CITY OF EVEREIT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify lhat I have read and examined this application and know lhe same to be true and correcL P.II provisions of laws and <br /> ordinaces governing lhis type oi work will be complied wilh whelher specified herein or not.The granling of a permil does not presume <br /> to give aulhorily to violale or cancel the provision of any other slate or local law regulating construclion or the performance of <br /> construction.Thal I am aulhorized by lhe owner of lhis property to perform lhe work for which application is made and I comply with the <br /> Stal onireclors aw 18. ?RC and 296200 WAC. <br /> _ � <br /> ' ' �- �E�i � r�c�" 1 ��5" <br /> rtaWre o OwnedConlractor/Authoriz gent ate� <br />