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PERMIT APPLICATIO�1 <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-6810—FAX 425-257-8857—www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 7 ���-� � <br /> SfTE ADDRESS ?ARCEL TAX I.D.i PERFAR s <br /> 2o2v f.ql� R'•� � 2&�52`la�2t1L� � ��.�� � -� ��� <br /> LE LOTNO BLOCK TRACT � / � <br /> DESC. q Q��S �('V'P.� �"�� � <br /> OynJER ADDRESS CITYltlP PFiJNE <br /> h�IvW �{ti f�k�� (.1.�. (1fe�F- � D1� 6+.x..�Scw �9�,� <br /> TENAHTN E CONTACTFORPERMR PHONE <br /> a/� � �) �� t�l� ,d�►� � - ����I� <br /> CO •NTR T�j' OR � ���� I�11^ � �� CfTYIZJP PHONE <br /> �L!i�.✓.� <br /> � zn-.�.�, /. .L �J�cpwp�� '�25'•2o4'�t� <br /> CONTTt. ,EN��*�Lr'J'�� �. V�fy Z(R7 W� lr""� <br /> USE OF BUILDING NEAT SOURCE I ONTRACT PRICE OF WORK <br /> � � � � <br /> /T{�LW! YI�Jf.cr�'�'� _"Electric _Gas_Other � �� ° <br /> � .�- , <br /> WORK DESCRIP'f10N <br /> �XfWItN ►'G-SI� t y�1 i-S � �t7�Goy!{� <br /> PLUMBING F/ P, MECHANICAL t/ h. <br /> Nli. 7YPE OF Fl7CTUHE OR ffEM NO. 7Y�E OF FU(TURE OR(TEM <br /> Toilel A/C–air handling units <br /> ' gep��p Forced air systems <br /> Lavetory(wash basfn) _ Gas pipiix� <br /> Showar Waler hea[er <br /> IGtchen sink&disp�al _ Gas fireplace <br /> Dlshwasher Gas rdnge <br /> Clothas washer Clothes dryer <br /> Laundry lray _ F2ange houd <br /> Sink(service/badmop(e1cJ __ Exhaust/en <br /> Backflow preventer __ Heat pump <br /> — ���y� Unit heater <br /> Drinkirg Fountain _ Boiler <br /> Floordrain _ ReRigetafion <br /> Grease Uap _ Woodstove <br /> Roof drains �� <br /> Other — <br /> C(TY OF EVERETT LOCAL SAI.ES TAX CODE IS 3105 <br /> I hersby ceritify tliat I have read and examined this applicatlon and know the same to be We and correct. All p�rnisions o(laws and <br /> ordin goveming this type of worlc will be complied wiUi whether specified herein or not.The grantlng of a permit does not presume <br /> to give au ty tn violate or cancel Uw provision ot any other state or local law regulatlng wnsWctlon or tlie peAwmance of <br /> construction. at m aullzorized by the owner of this property lo perfortn the wroitc(or whi�appiicotlon is made and I compy with the <br /> State Contrad CW and 2962W WAC. <br /> � �� V 1 <br /> Signature o onlraclor A thonzed Agenl Da 'i <br /> i � <br />