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P�RMIT APPLICATIG.J <br />GITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-i;810 - FAX 425-257-8857 - www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM - DEBIT d CREDIT CARDS ARE NOT ACCEPTED <br />� �• �c ADDRESS �� pARCEL TAX I.D. # PERMIT!! <br />-�ii=L ,2 ) S C�-' c"C7s�7y-d0o Dyy-71 ,F C�SvG-�3 — <br />' Lf.� 41 LOT NO. BLOCK TRACT <br />� � <br />� UrSC.i n { ".. <br />=.-• ,�, vf 4 / , , • .. . � ,. , , � <br />OWNFR AUDRESS CITY/ZIP PHONE <br />� ��l C'1 �"i / i �'+�f <'.S 7/IC ' J�C� �i:J� %�t� �—�� yLJ '1-S L "� �'� <br />' TENANT NAME � CONTACT FOR PERMI7 PHONE <br />CONTRACTOR <br />� /��[� I 1 � ) 'tT� `.(C�,J;�).%1 <br />, CONiR.UCENSEp , <br />I— �� 11�-�L! �� d T <br />. USE OF �UILDING <br />� %— {L <br />;� WORK DESCRIPTION <br />T /` <br />� �� .-K �� <br />{ ,' i <br />----PI_UMBING - -- <br />I NO. �_ TYPE OF FI%iURE OR ITEM — <br />i Tnilel <br />� � f3rilhWb <br />' .�_ Lnva�ory �waali b;isin) <br />SiIUN'Cf <br />� Kdchen sinh 8 Jispusal <br />i Dishwashcr <br />� Clothes washer <br />_� Laundrytray <br />Sink (service/hadmop/etc.) <br />BacAflow pruvmiler <br />Urinal <br />, Dnnkmg FuuN;un <br />F loor drain <br />Greasc Irap <br />RJoI dr�ilB <br />O�hr,r <br />ADORESS <br />J 4 �w-Q <br />HEATSOURCE <br />_ Llerlric�_ Gas _ _ Other <br />i c <br />:[d <br />CITV/ZIP PNONE <br />CONTRACT PRICE OF WORK <br />MECHANICAL <br />TYPE OF FI%TURE OR ITEM <br />_ A/C - air handlin� units <br />/ Furrnd air syslcros <br />�_ Gas pipin9 <br />__j Wa�crhealer <br />_L_ Gas�ireplaco <br />Gas range <br />Clolhes dryer <br />RanyehooA <br />Exhaust fan <br />Hcal pwn�� <br />Unil heater <br />�oiler <br />Refrigeralion <br />_ � Woods!ove <br />Olhar <br />CiTY OF EVERETT LOCAL SALES TA% CODE IS 9105 <br />I hereby curilify thal I have. road anJ uxamined this application �nd F.nu�v Ihe same tu be true and wrroct. All provisions ot laws and <br />.xJmar.r:s �ov��rniny lhi; typa of work will bo compliod with wholher spocilied hurein or noL The �ranliny ol a permil does not presume <br />W c�ive aulhority lo vlolalu or cancel iho pruvlsion ol any olher stale or local law reyulating consiruction or Ihe perlormanco ol <br />��onslruclion. Thal I am authorized by tho ownor of Ihis property W pedorm U�e work lor which applicalion is made and I comply wllh Ihe <br />SL�Ie Conlraciors Law 1H."1! fiCVJ m}�1 29ti200 WAC. • <br />' }` <br />`,��'- - - - - -_y _-J <br />