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- -- - P��"�IT EiPPLICATIG�� 1 <br /> . .... <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 ADORESS � �� PARCEL TAX I.D.N PERMIT N <br /> !�l'' l � b I L'7��� - L� JL' �IG�G��L'� �� �OS �� <br /> L GAl .OT N0. � BLOCK TRACT OR�SUBDIVISION M <br /> OESC <br /> OWNER ADDH[SS CITYIZIP PHONE <br /> ��.,�-� �i�,s�r .t� /�r, Sr���F �� � �-_ P 4i3- ?2 0 -��3 <br /> TENANT NAME —� CONTACT FOR PERMIT PHONE��^ ��L�/t�� <br /> / <br /> � E•MAIL�(,�11/"ds-�C��J'�v�/h4� <br /> -Z3RTRw�fbTi--- --�Ry in5i,.� '„� <br /> �liY'�t�'r <<It�/lt�� <br /> '� � s3� 13r���, ��H !�/�-71Y1<�/ � <br /> CONTR. LICENSF M����� ^ �� <br /> � 7���� I <br /> USE OF BUiLDING NEAT SOURCE CONTRACT PRICE OF WORK <br /> I — _Electnc =Gas Olher _ <br /> WORK DESCRIPTION <br /> (�-/1 1 G 7 '� // �Z� �? / `/� <br /> ---__-- - --------- ---- � <br /> PLUMBING MECHANICAL <br /> i NO. TVPE OF PIXTURG OR ITEM N0. TYPE OF FIXTURE OR ITEM I <br /> — �1otic1 ._ .. .. __ __- __—. . .--- -- -A/C � au handling unds--_—_ __.—_— � <br /> fiaUnub Forced n�� sys.ems <br /> I.avaloiy (wnsh basini _ Gas piping <br /> Shower _ Waler healer <br /> Kdchen sink 8 dis�!otial Gas lireplace <br /> -- Dishwhshcr Gasrange <br /> Cluthes washci . Cl.thes dryer <br /> Water heater Ranye houd <br /> --- Sink(servicclba�rinu��'etc ) [=%haus�lan <br /> '— 13ackllow P�rvr ntri Heal pump <br /> Unnal Und heater <br /> pnnkiny I ounLmi Ooiler <br /> Fluordiaui Reingerahon <br /> Giease trap Woodstove <br /> Rool drams Olher__ <br /> Olhe� _ — <br /> CITV UF EVERETT LOCAL SALES TAX CODE IS 7f06 <br /> I hereby certd�ihal I heve�ead and ezanuned�his app6cxtion end know�he same lo be Irue and correcf All provisions ol laws and <br /> oidir.Tnces governing this lype ol woik wdl be complied wdh whether specdied herein or no� The granUng of a permil does not presume <br /> to gwe nu�hority lo viola�e ur cancel the prowsron ol any other slale or local law regulating cons�rudion oi Ihe performance ol <br /> construction Thal I�m aulhorized by tlie owner ol ihis property lo peAorm�he work for which applica6on Is made end I comply viith the <br /> Slt+�e Conlrac�ors I. 8�" nd 29Fi 200 WAC <br /> ���L <br /> SignaWre ol Own Comrac oi�Aulhonaed Agenl Dal� � � <br /> � <br />