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�'�f�Mll' APPLf�ATI�ON <br /> CITY OF E�fERETT PERMIT SERVICES <br /> 3200 CEDAR STRFET, EVERETT, WA 98201 � <br /> 425-257-8810 — FAX 425-257-8857 —wwvv.everettwa.org <br /> 3 -� 4 �O�O <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO A PM - DEBIT& CREDIT CARDS ARE NQT ACCEPTED <br /> SITEADDRESS PARCELTAXI.D.# P-�R^�IT#� G <br /> 949 /4 "� ST. 2 905/800 2 0�000 /JL/>'��� �/0 ' <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> /�O2T OF E✓E�PE7"T 29�i�oNo sr. EYEkETT 98206 4Z5-388-0603 <br /> �� TEUANT NAME CONTACT FOR PERMIT PHONE <br /> PoL/ L U/S 4Z5-3B8 -0603 <br /> CONTRACTOR ADDRESS CITYIZIP PNONE <br /> C04TR.LICENSE# <br /> USE OF BUILDING — HEAT S�JURCE I CONTRACT PRICE OF WORK <br /> Eleclric Gas_Other <br /> WGRK UESCRIPTION <br /> /JEMOL/Sfi�EX�ST/NG BU'LO/NG. NO. /9 <br /> � SANG�ER (r3�B�/ <br /> , PLUMBING MECHANICAL <br /> ' NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C–air handling unils <br /> Bathlub Forced air sys;=ms <br /> Lavalory(wash basin) _ Gas pipin3 <br /> Shower Water heater �' I�' <br /> _ Kitchen sink&disposal _ Gas fireplace 1`�' <br /> = Dishwasher Gas range r�1 i`l, <br /> Clolhes washer Clol{ies dryer <br /> _ Laundry tray _ Range hood ,i� � <br /> _ Sink(service/badmop/elc.) Exhaust fan � l I� <br /> Backflow prevenler Heal pump <br /> Urinal � Unil healer <br /> � Drinking Founlain _ Boiler <br /> Floor drain Refrigeration <br /> Grease lrap Woodstove <br /> Rocf dreins Other <br /> -- Olh�r <br /> � GTY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> � i hereby ceritify that I have read and examined lhis application and know Ihe same lo be true and correcL All provisions of laws and <br /> -•rdinaces goveming lhis type of work will be complied with wheiher specified herein or nol.The granling of a permil does nol presume <br /> to give authority to violale or cancel the provision of any other state or local law regulating ccnsiruction or the performance o( <br /> construction. That I m thorized by ihe owner o(lhis property to perform ihe work(or which applicalion is made and I comply wilh the <br /> Stalc Conlradors 27�ft W and 296.200 WAC. <br /> \l ��� �/,��a ,�> . 1(v.l''S <br /> J <br /> � Signalure of Owner/ m aCtor/ uthorized Agenl Date <br />� I � <br /> L <br />