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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 ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS I PARCEL TAX I.D. # <br />sos S� a�o5lop <br />LEGAL LOT NO. BLOCK TnACT <br />DESC. <br />(OWNER , ,1 ADDRESS 1 CITY/ZIP PHONE <br />TENANT <br />NAME CONTACT FOR PETIT PHONE <br />- — <br />ONT CTCOR (�d ADDRESSCITYIZIP P—HONyEy/ki('Ai <br />ONRyiEt � <br />� /V <br />(0 L6 i <br />_UnSE OF BUILDING ^ _ <br />I/v\(`�iJy`\�'1 Q <br />I j// HEAT SOURCE <br />Electric Gas <br />ONTTR.ACT PRICE OF WORK <br />I <br />1! tQAC�1 <br />_ —Other <br />— <br />V <br />WORK DESCRIPTIQQN <br />nu-) see wvau�y <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />N0. TvPE OF FIXTURE OR 17EM <br />_ <br />Toilet <br />Bathtub <br />A/C —ait handling units <br />_ <br />Lavatory (wash basin) <br />Forced air systems <br />Gas piping <br />Shower <br />Kitchen sink &disposal <br />Water healer <br />Gas (replace <br />_ <br />Dishwasher <br />Clothes washer <br />__ <br />Gas range <br />Clothes dryer <br />_ <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Range hood <br />Range fan <br />UrinalBackfhpreventer <br />Urinal <br />_ <br />_ <br />Heat pump <br />_ <br />Drinking Fountain <br />_ <br />Unit heater <br />Boiler <br />Floor <br />Grease <br />Grease trap <br />trap <br />_ <br />Refrigetalion <br />Woodsto�e <br />Roof drains <br />Other <br />_— <br />Other <br />— <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this type of work will be complied with whether specified herein or not. The granting of a permit does net presume <br />n <br />to e authority to violate or cancel the provision of and other state or local law regulating construction or the performance of <br />cos ucti n. That I am authorized by the owner of Ibis property to perform the work for which application is made I <br />and comply with the <br />hm 18.27 RCW and 296.2U0 WAC. <br />St*reer/'Con <br />/I 1[)(o <br />) <br />Sitractor/Authonzed Agent Dale�L <br />