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PEt2MIT APPLICATION <br /> CITY OF EVERETT PERMIIT SER!/ICES <br /> 3200 CEDAR STREET, EVERETT, VVA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM p�`�(.(j� <br /> S1TE ADDftESS PARCEL TAX�.D.# PERMIT# <br /> ��y, � _ , 9 �?� �-��= s�, c-. . dGs � �l J� � i�� � d � �o�/- ��� <br /> LEGAL LOT NO. �LOCK TRACT <br /> DESC. <br /> OWNER � � A�C{�RESS�� U d� IZIP PHON � <br /> ��'v� �.%-� ,J.n lJ � � .nU C�d�� <br /> ��o/j�S% ,�cv12 i�T/�7c — i t��c�,t F /'�1�.' E7r=�'ifi �-%t � I � - <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> EL �/� 1�1j77o ri F,ti� ) �' �%�J - -33y•S� �� <br /> �c yZS - 5 �c� -rf/Nc <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> t��aT �I��J Sr�2��iccS' , Ib2�2 ��ejl{. ��. -li"'+^� � ra3'i rLt�U c2tZZlc ��.� �/ u r 3 � �/F,4� <br /> CONTR.LICENSE# <br /> �1��! S(S' k�C`lo��i' <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE QF WORK <br /> � 2.37s <br /> E.leclric _Gas_Other I <br /> WORK DESCRIPTION �I <br /> �,vS�h-c J "�L �llr��,��L �G-7Tt=,2 ��is'��-q� A,,�, ,� TYt� �r.✓t . I <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF F':XTURE OR ITEM <br /> Toilet _ A/G-air handling units <br /> BathWb _ Forccd air systems <br /> Lavalory(wash basin) / _ Gas piping <br /> � Shower � __ Water he2ter <br /> Kitchen sink 8 disposal j _ Gas fireplace <br /> Dishwasher _ Gasrange <br /> Clothes washer � _ Clothes drye� <br /> Waler heater � _ Range hood <br /> Sir�k(service/bar/{n plelc � _ txhausl fan � <br /> Backtlow prevenle ,' _ Pcat pump <br /> Urinal ' _ Unil healer <br /> Drinking Fountain� _ Boiler <br /> Floor drain j _ Refrigeralioi� <br /> Grease trap i _ Woodstoce <br /> Roof drains _ Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify lhat I have read and examined this applicalion and know the same to be true and correcL All provisions o(laws and <br /> ordinaces governing lhis lype of work will be complied wilh whether specified herein or not.The granting o.`a permil does not presume <br /> to give authorify lo violale or cancel the provision o(any olher state or local law rec�ulating conslruclion or lh�performance of <br /> construction.That I am authorized by the owner of this property to perform lhe work for which application is made and I comply wilh the <br /> State Conlraclors aw 18.27 RCVV and 296.200 WAC. <br /> �/ � s� �� <br /> Sic�naWre o .vnedContractodAulhorized Agent Date / <br /> 1 � <br />