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� �'�RMIT 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 � ' �g— �� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> Ga � ta`� P�oe . S�� ,�'ic�G�c=Z3 <br /> LEGAL LOTNO. �LOCK TRACTORSUB�IVISIONN <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> I�II (LA-� L 'lhl� til�� tilG �� � �aa � �o� �L . �J/ . ���.�u�o� �a�Jay� -�a � <br /> TENANT NAME CONTACT FOR PERMIT � HONE � „ <br /> — v I Y'"v� I'YN' � E-MAIL V� (^(�A – {� h� <br /> CONTRACTOR ADDRESS TY IP PH NE <br /> CONTR.LICENSE# � � rnL �� g(�l� L� <br /> USE OF BUILDING HEAT SOi1RCE CONTRACT PRICE OF WORK <br /> �'�,� �a�.� l�o�-e. Eleciric __Gas_Olher <br /> WORK DESCRIPTION <br /> PLUM6ING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM IJO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C–air handling unils <br /> Oathlub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shov✓er Waler heater <br /> Kilchen sink&disposal Gas(ireplace <br /> Dishwasher Gas range <br /> Cbthes washer Clothes dryer <br /> Water heater Range hood <br /> _ Sink (servir,e/badmop/elc.) _ Exhaust(an <br /> �ack9ow prevenler _ Heat pump <br /> Urinal Unit heater <br /> Drinkinc�Fountain _ Boiler <br /> Floor drain Refrigeralion <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify lhat I have re;,d end examined this application and know lhe same to be true and correcl. All provisions of laws and <br /> ordinances governing lhis type of work will be complied with whether specified herein or nol The granting of a permit does nol oresume <br /> to give a�diwrily to violale or cancel the provision of any olher state o�local law regulating construction or lhe performance of <br /> consiruction. That I am aulhorized 6y Ihe owner of this property lo perform ihe work for which application is made and I comply with the <br /> St Conlractors Law 18.27 RCW and 296.200 WAC. I <br /> �a i �l aoI-b <br /> Sig re of wnedConlractodAuth ized Agent Date <br />