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PERMIT 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 iaCCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> �02 � � ���`� SC O��-Cvl �' <br /> LEGAL LOT NO. BLOCK TRACT OR 3UBDIVISION# �, <br /> DESC. I <br /> OWNER ADDRESS CITY2IP PHONE � <br /> f�L!/�U't'.iLs� /�( !/l.('�/[r C vr �/20cr/ .. <br /> TENANT NAME CONTAGT FOR PERMIT PHONE �/Z r 7S y- S�f� S- <br /> oDnisc�, PL��.,�o.,,r �l%�c%lQF[ l_et E•MAIL <br /> OhTRACTOR AUORESS ������, CITY/ZIP �HONE <br /> Z�37C /ZY <br /> CONTR.LICENSE# ��p�,�p;� L�71 �� �-!j[/�!f- itil-� Lv/'� Sp' 2 Z� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> 1 Electric Gas Olher <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � Toilel _ A!C—airhandlinqunits <br /> Bal'ntub _ Forced air systems <br /> � Lavalory(wash basin) __ Gas piping <br /> Shower W ater heater <br /> Kitchen sink&disposal Gas(ireplace <br /> Dishwasher Gas range <br /> Cblhes washer Clolhes dryer <br /> � Water heater _ Range hood <br /> Z Sink(servicelbar/mop/etc.) Exhausl fan <br /> Rack(low prevenler Heat pump <br /> � Urinal _ Unil healer <br /> � Drinking Fountain _ Boiler <br /> � Floor drain _ Re(rigeralion <br /> Grease trap Woodstove <br /> Roo(drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriti(y ihal I have read and examined this application and know the same lo be true and correcl. All provisions of le i,�and <br /> ordinaces governing this type o(a�ork will be complied�vith whether specitied herein or nol.The granling of a permit does not presume <br /> to give aulhority to violale or cancel the provision of any other state or local law regulaling construction or the per(ormance of <br />� consiruclion.That I am authori^e by the owner of lhis property to perform the v+ork for which application is made and I comply v+ilh the <br /> Stale Ccntraclors L "18. 7 and 2�J6.200 WAC. <br /> % <br /> I 5 -� a.� <br /> SignaWre of OwnedCon�raclodAulhorized Agonl Date <br />