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PA. MIT APPLICATIOA <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 ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 97S Gil, Ja ��5� I�_C7 i -o� ��� -e)l La <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> cc kit., L. <br /> XAXj,NAME *,CCONTACT FOR�PJERMIT /' CJ PHONE <br /> V ft <br /> P�� a ��w P 1 I / E-MAIL <br /> CONTRACTOR ADDRESS CITY/ZI.P PHONE <br /> S, 7�J c�t��,,. �, 'ZS <br /> CONTR. LICENSE# ty,, � , / l Z:gG° �CF� <br /> USE OF BUILDING1l7 �C! HEATSOURCE CONTRACT PRICE OF WORK <br /> ElectricGas_Other i Ejq 5 (9,) <br /> L <br /> WORK DESCRIPTION <br /> PLUMBING ECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C —air handling units <br /> Bathtub Forced air systems <br /> I Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink & disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Water heater VJF Range hood <br /> Sink (service/bar/mop/etc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br /> constr ction. hat I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br /> State U,�tra. s Law 18.27 RCW and 296.200 WAC. <br /> Si r ntractor/Authorized Agent at <br />