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f <br /> ,�.' �'���t��ii�J'}i� ' f� <br /> qu�; � g Zoos PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVIf:ES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 i <br /> i � , C�f E`:F RFT1 425-257-8810 - FAX 425-257-8857 -www everettwa.org <br /> ��.�,,.�,�„�nnn�Pnnlir tieivvr� <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT d CREDIT CARDS ARE NOT ACCEPTED <br /> I __ --- ------ — <br /> � SITE AGDRESS PARCEL TAX I.O.p PERMIT N - L/ <br /> � �voZ /�/3' �/ _SE - ---I------- --�������—/ <br /> i 1��Al LOT NO. BLOCI( TRACT � <br /> Uf Sr, <br /> � ._.�_.__—. i <br /> � OWNCR � - � ADURESS CIT/21P PHONE <br /> �l �iN s � Evc-NSoM 3oaz i0/�F j'/ sE �--—Evye�,ee�� y�as- 337-y38s ' <br /> I� TENANr NAME I CONTACi FOR PERMIT /�z� PMONE , <br /> --- ---- — _ �is� •�ubH --- vzs -7y2 i5��`/ <br /> CONTRACTOR AODRE55 CITY2IP PMONE j <br /> �32��cc ,sn� . : N Ne97iN6 �aLz� 5/Y'� Hvc c✓ .yN,vwiep y�s - 7y2-iy�y <br /> . CONTR.LICENSE f y�'L J� <br /> 3 R u�e s�/Gy3J_A <br /> _ - -- -- ---- - — - --- ------- <br /> I USE OF BUILDMG HEAT 80URCE CONTRACT PRICE OF WORK <br /> I Electnc ► Gas Other ( - <br /> -- ---��Pl_ - . - <br /> � =- --- ----- --- <br /> � WORK DESCRIPTION � <br /> --- � ---- - - - <br /> . . - -- --- - - ---- -- <br /> PLUMBING - <br /> MECHANICAL <br /> � NO. iYPE OF FIXTURE OR ITEM N0. TYPE OF FU(TURF.OR ITEM <br /> . __ .___. .. .. -_ __._ . ____._ .. ..._. ___ .. ...._ _ _- _— .._—_ - __ ._—_._.___—_-___ <br /> , iodrt _(_ _ NC - air handhng unds <br /> __ Ralhlub Forr,eA au systems <br /> ; __.. lavatorylwashbasinl _ Gaspipmg <br /> �. __ Showrr Water heater <br /> _ Hitchen smk;disposnl _ G�s(ireplTce <br /> j _ Uis!iwashr.r _ Gas rnnge <br /> I _ Clolhes washer __ Clolhes dryer <br /> ___ Laundiy trnY _ Range hood <br /> �, _ _ Snk Iservicelba�hnrq;nJc 1 Exhaust Mn <br /> ' ._ Bickllow prevenin� _ Neal pump <br /> I _ Unn�l llntl heate! <br /> _ Dnnking 1 ouMani Hoder j <br /> I _.__ �Inor dram Refngerahon � <br /> -_- Grease trap � Woodstove I <br /> Roof di ��ns Other <br /> : __ Other__ _ . .__-_. _. _____ <br /> � ._- —._... .—_—_ - __ I <br /> CITY OF EVERETT IOCAL SALES TAX CODE IS 9f06 <br /> I hrreby cenhfy Il�al I hav�read anA e■amineA Ihis epphcalion and know Ihe same lo lxa irua And wrtect All proviswns of laws and i <br /> . uiA�naces 9uveming Ihis type ul worh w�ll be complieA wi0�whether spea�:ed herem or not The yranhng ol a permd dces nol presume <br /> , to grve authonly to violate or cancel�he provision of Any olher s�ate or local law regulal�ng construdwn or Ihe pedormance ol <br /> ' r.onsirudinn ihal I am a�dhor¢aA by Uie owner of Ihre property�o pedorm the wrnk for which appliration is made and I compty with Ihe i <br /> � S�ate Contrar.lors:Law 18 27 RC/W and 276 200 WAC <br /> I =`���s--�G� ��/G�!/� I <br /> Siqnahue 1(1wnaU(;nnha� r/AuthoiveA Agent � �ate <br /> ! <br />