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PE�IVlIT APPI_ie Q.TION <br /> �ITY OF EVER�rT PERMI"T 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 PARCEL TAX I.D.# I PE�p IT# <br /> �l:2i s /��N /,✓c sL __1_�,J2��'��" _ <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PIiGNE <br /> /yJ!/'/ISC.'L /YJAnILA ��/ 1 �'OCo- �u2G - �U�� <br /> TENANTNAME CONTACTFOR PERMIT PHONE <br /> �A•Q./� CiA�/OA/� i�,LInIDCC"1�L E•MAIL i7�O(,' �5 � ���I�/ <br /> CO4TRAC70R ADDRESS CITYIZIP PHONE <br /> CONTR. LICENSE t! <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF N/ORK <br /> E!eclric Gzs Other <br /> WORK DESCRIPTION <br /> �/�d�L l /=.a���_y� Nv�yJ� � n�S�"ECiiG�^� <br /> PLUMBING ME(;FIAMICAL <br /> N0- TYPE OF FIXTURE OR ITEM _- NO. TYP[OF FIXTURE OR ITEM — <br /> Toilet AiC-air handling units <br /> Bathlub Forced air syslems <br /> i.avatory (wash b�sin) Gas piping <br /> Shcwer Water healer <br /> Kitchen sink&disposal Gas(ireplace <br /> Dishwasher G�s range <br /> Clothes washer Gothes dryer <br /> Waler healer Range hood <br /> Sink(service/badmop/elc.) Exhaust fan <br /> Backflow prevenler Heat pump <br />� = Unnal = Unit heatsr <br /> Urinkinc� Fountain Boiler <br /> Floor drain Refrigeration <br /> _ Grea,e lrap Woodslove <br /> Roof drains Otl�er <br /> Other <br /> — - I — - -- <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> I hereby cerilify lhat I have read and examined lhis applicalion and k�ow the same lo be true and wrrecl. All provisions o(laws and <br /> ordinar.es g�verning lhis type of work will he complied wilh whelher specified herein or noL The c�ranlinc� of a permit does not presume <br /> to 9ive authority to violate or cancel Ihe prowsion o(any other slale or local law regulating construction or lhe per(ormance of <br /> conslruction. Thal I am aulhorized by the owner of this property to per(orm the work for which applicalion is made and I comply with the <br /> Slate Contracto Law 1b.27 RCW and 296.200 WAC. <br /> �'�'�_�- � - t U ' U� <br /> I Signal �o(GwnedContractor/Aulhorized Agenl Date <br /> L� — <br />