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� <br /> � <br /> �� � - � <br /> PERMYT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES E <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 � r-a,L�--I a i <br /> I <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT M � <br /> �!' lo ��`=` � ) ' � !k " ��i��, "� Ia.�oC'�C� . - Z <br /> LEGAL LOTNO. BLOCK TRACTORSUBDIVISIONM <br /> oFsc. i <br /> ON'NER ADDRESS CITY2IP PM NE � <br /> "� c n.� �'t��j, :t� �����.i� l�;r 1��� "<- C���arc�N `�� �1--?S-c.t� {��7� ' <br /> TENANT N E I CONTACT FOR PERMIT PNONE <br /> E-MAIL <br /> ��`�`c�<t��� {'�`.0 Cs1'L,� . \''-�,.�3'� ��`(� Ia�o�Z ,�,��Ar�cr ��� -g�,�- 3� <br /> CONTR.LICENSE \�. \ �, <br /> �i7C'�°�I� 'A�i'1�'-I('.lj� ��, {=t-,af�� Gi�'� l <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Eleclric �Gas_Otiier ���� G�1 <br /> WORK DESCRIPTION <br /> �L`�0.�� l��-�-e� ��c'���'. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR REM <br /> Toilel A/C-air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) �as piping <br /> Shower _f_, Walerhealer <br /> Kitchon sink 8 disposal Gas firepiace <br /> Dishwasher � Gas range <br /> Clothes washer Clothes dryer <br /> Water healer Range hood <br /> Sink(service/bar/moplelc.) Exhaust fan <br /> Backnow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Founlain Boiler <br /> Floor drain Refriyeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> i hereby certify that I have road and examined this applicalion and know tho samo lo be true and correcl. All provisions of laws and <br /> ordinances goveming lhis rype of�wrk will be complied with whelher specified herein or not The granting of a peimit does nul presume <br /> lo give authcnry lo violate or cancel fhe provision af any olher state or local law regulating construction or the peAormance of <br /> conslruction.That I am authorized by the owner o(this property to perform the vrork for which application is made and I comply with the <br /> Stalo Contra rs Law^1827 RCW and 296200 WAC. <br /> 1 � <br /> , � ` _j �� <br />' Signawre Owner/Conlrac�or/Aulhonze T9 nt te � <br />