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PtRMiT APPLICJ�T�GnI <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810– FAX 425-257-8857 –w�vw.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM r— ^LS`�a <br /> PARCELT I.D # PERMIT# <br /> SITE ADDRESS , 1 L G,�( _ <br /> )� � ,�,� .� - v� �L���' _ <br /> LFGAL LOT NO. 6LOCK TRACT OR3 BDIVISION# <br /> DESC. — <br /> OWNER ADDftESS CITYIZIP PHONE <br /> \ �-IzS–b4�– �`i3 <br /> �� � �('✓L�_�1)C�ta�jo� ,r�.-w-c. <br /> �� / ` —� <br /> TENANT NAME <br /> CONTACT FOR PERMIT PHONE <br /> �' 100 1�� �� <br /> �`,y�` S\ E-MAIL <br /> ONTRACTOR ADDRESS CINIZIP PHONE <br /> CONTR.LICENSE# `� <br /> — I — — i CONTRACT PRICE OF WORK <br /> USE OF BUILDING HEAT SOURCE <br /> Eleclrir. _Gas Olher <br /> WOftK UESCRIPTION <br /> ���L������ _ -- MECHANICAL <br /> PLUMBING <br /> NO. TYPE OF FIXTURE OR ITEfd i <br /> Np, TYPE OF F�XTURE OR ITEM , <br /> -- ---- NC–cair handling units <br /> _ Tailet Forced air syslems ' <br /> I — BathWb = I' <br /> Lavatory (wash basin) �as piping <br /> Sho�•cr W�ten c�aler <br /> I _ Kitchen sink&disposal _= Gas lireplace <br /> Dishwasher Gas range <br /> i .— CloOies dryer � <br /> 'I — Clothes washer _ Range hood ��I <br /> � Waler healer Exhaust fan <br />\ __ Sink(servicelbarlmop/etc.) — Iieal pump � <br /> Backllow prevenler Unil healer . <br /> _ Urinal goiler <br /> _ Drinking Founlain � Refrigeralion <br /> Floor drain W oodslove <br /> Grease trap Olher � <br /> Roof drains -- <br /> Olher _ -- <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby ceritify that I have read and examined this application and know the same lo be true and correct. All provisions o(laws and <br /> ordinaces yoverning ihis rype of work will be complied with v+hether speci(ied hereir�or not.The granting of a permil does noi presume <br /> � to give aulhoriry to violale or cancel Ihe provision of any olher stale or local law regulaling wnslruclion or the pedormance o( <br /> conslruction.That I am authorized by lhe owner o(lhis property to perform Ihe work fcr which applicalion is made and I comply with the <br /> ISlato Cenlraclors Law 18.27 RCW and 29G200 WAC. <br /> Signaturo of OwnedContraclorll�uthorized Agent Date ! �, <br /> I <br /> I . . . __ .-_ . _ . . <br />