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P�,�i��T APPI_ICATIG�J <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 - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.q PE(�RMIT p <br /> `� `� '�11. 11� �� � _. (. ,'I. A�1.1�-I �Al �l�i'�r�Jl� �-�pi `�1��� �'� � 1C• ��:" �'C_ •.7���� OG� <br /> LEGAL LOTNO. BLOCK TRACT I <br /> DESC. , i^ <br /> OWNER ADDRESS <br /> CITY2IP PHONE (�_�I_�� <br /> \ ,; ��r �\ '.���� ��� .�ti �� r.\ ���i�.\i_L� l'� ':i. \� )_� 1\ ' ,� '', i_-. [-Vi_P�l_.� T r�n �..•Pi �l„ <br /> - � '�116,� <br /> 7ENANT NAME CONTAC'f FOR PERMIT PNONE <br /> 1l�-' )�t �� `��rd.iC= r...A �A1A�i:_L�1 ��)�'1 � c A \�� l�.�L_L .f1 �l- `�;���� -) . �V1 (.. <br /> 11� �, <br /> CONTRACTOR ADORESS CITY2IP PHONE <br /> CONTR.LICENSE p <br /> USE OF BUIL�ING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> [Icclric ��. Gas_Olher <br /> WORK DESCRIPTION � j — <br /> i�r.'cc_l l '�-��r�u��• �-�� <br /> PLUMBING MECHANICAL <br /> NO. IYPE OF FIXTURE OR I7EM NO. TYPE OF FIXTURE OR ITEM <br /> _ Toilel A/C–air handlinc� units <br /> _ Bathtui� Forced aIr syslems <br /> _ Lavalory (wash basin) Gas piping <br /> _ Shower Walor healei <br /> _ Kitchrn sink 8 dis�sal Gas fireplaco <br /> _ Dishwasher Gas range <br /> _ Clolhes washer Clolhes dryer <br /> _ Laundry tray Rango hood <br /> _ Sink(service,'bar/mop/cic.) Exhausl lan <br /> _ Dackllow prev,;ntcr Hoat pump <br /> _ Urinal Unit hcatcr <br /> _ Drinking Fountain Boiler <br /> _ Floor drain Reingeration <br /> __ Grease trap Woodstovo <br /> _ Roof drains Olhor <br /> Olhur — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br /> I hereby ceritify that I have road and examined lhis application and know Iho samo to be irue and correcL All provisions of laws and <br /> ordinaces governing this typo of work will be cnmpliod with whethor specified herein or not Tho c�ranUng of a pArmit doos not presume <br /> lo�ivo authorily!o�iolate or cancel Ihe provision ol any other state or local law regulating construction or the perlormanca of <br /> Iconstruction. Thal I am aulhorized by the owner of this property to periorm the work for which application is made and I comply wilh the <br /> Slate Con�ractors Law 18.27 RCIN and 29�200 WA'�. <br /> i � � � <br /> � �� �.��.1'. ��.� A)C�, A�i �. �� � � ��, �� <br /> Signaluro ot OwnerlConir ctor/Aulhonzed Agent Dale <br /> i <br />