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PERMIT APPLICATION <br />CITY OF EVERETT PERMI7 SERVICES <br />3200 CEDAR STRE[T, EVERETT, WA 98201 <br />425 257-R810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS AflE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS PARCEL TAX I.D. p P M�T � I� /, <br />� � . , � � i ,�.� � � ' � �, W"_vlC <br />LGGAI LOi NO. BLOCK TRACT Ofl SUBDIVISION A � <br />DFSC. . "' � . .. . � � � .. . „ ' • ,.. li <br />OWNER AUDHESS CITY211' PHONE <br />� . �L. � . ,�1:,,�,��i ��I', 1il : u�� <br />�, ',. <br />r, , � , , <br />TENANiNAME CONTACTFORPERMIT PHONE � . , � , �� n� r �+.'.'- <br />.��,'.i�,.,. .. � E-MAIL ' ".n t'4� <br />Z`6RTRA�TOT� , � ,— , _---�— — <br />� „ , �h. � . , <br />4 . , t i� . <br />CONTfl. UCENSE N ; �.1� .- �. ; i . , , ' <br />USE OF BUILDING <br />�,.�; {.�,i�li ���..ni���,�, <br />: <br />WORK UESCRIPTION <br />�. � '���i�. <br />N0. I TYPE OF FIXTURE Oil I(EM <br />T �oiltit <br />1 ) � l3aUitub <br />�avalory (wash basnil <br />Showor <br />I. Kitchen sinh R d�spos:d <br />Dishwashc�r <br />i Cblhes washur <br />i Watar hnalei <br />SiOk (SOrvlt:uibaiqrlcp�i�l��. 1 <br />' . 6ackllOw pr�tveninr <br />Urinal <br />Drinking FouNam <br />Floor drain <br />Grense Irap <br />�ool drains <br />-,._ I Olhor -__------ <br />HEAT SOURCE I COYTRACT PRICE OF WORK <br />Elcc�ric Gas OUuei <br />NO. <br />TYPE OF FIXTURE Ofl ITEM <br />NC - air handling uNis <br />Fo« .td riir syslems <br />Gas piping <br />Wa�or healer <br />Gas itroplace <br />Gas rango <br />Clothes dryer <br />Ran�e hood <br />IExhausl fan <br />j Hoal pwnp <br />Unit heater <br />Doiler <br />RolrigaraUon <br />Woodslove <br />Olher--__---__ — _- <br />CITY OF EVERETT LOCAL SALES TAIf CODE IS 3105 <br />I heroby ceritity !hat I have read and exainm�d ihis applicalion ai� know Uia same to be Ir.�e and wrrect. All provisions ol laws and <br />ordinaros governiry ihis �ypo ol work win bo complied wilh whelher specified herein or nol. The granlirg o1 a permit does not presume <br />to qive aalhorily !o violale or cancel Ihe prcvision ol any olher stato or local law regulating consiruction or Ihe performance of <br />consDi�clion. Thal 1 am eulhoriied by ihe owner ol lhis property ro pedorm ihe work lor which application is made and I comply wi�h Ihe <br />Stale ConVac�ors Law 1P27 RCW and 296.20G WAC. <br />•i <br />. gnatwe o er/ onlrecloN ulhorize genl ate <br />���,�: � . . . , � ' <br />