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P��MIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> .�L � �' � ;"'�✓� ..5� �a O a - �� <br /> LEGAL LOT NO. BLOi.K TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> /�� �-�-- <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> /��sC.� —�-, �/�S <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> CONTR.LICENSE#'����I ^ .��� � �� M1 4 �_ , � <br /> f �l/� i����_� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Electric Gas Other <br /> WORK DESCRIPTION <br /> �l `�'�l� <br /> n �� ,y� � <br /> ��. i ,� /�l/�� <br /> I <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. 1YPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling unils <br /> Bathtub Forced air syslems <br /> Lavatory(wash basin) Gas piping <br /> Shower Waler healer <br /> Kitchen sink&disposal Gas firepiace <br /> �ishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Water heater Ranc�e hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> � Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeralion <br /> Grease Vap Woodslove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerilify that I have read and examined lhis application and know lhe same lo be true and correcL All provisions ot laws and <br /> ordinaces governinc�this type of work will be complied with whelher specified herein or not.The granting of a permil does not presume <br /> to give authority lo violale or cancel the provision of any olher slate or local law regulating construclion or lhe performance of <br /> conslructien.That I am authorized by the owner o(lhis property lo perform the work for which application is made and I comply with the <br /> Slate Contraclors Law 18.27 RCW and 296.200 WAC. <br /> SignaWre of OwnedContractor/Authorized Agent Date <br />