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P�.r�MIT APPLICATIG�� <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 FHOM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT% <br /> 5L�3 ClL,'�L' �G� I� ��Ib�U��' <br /> IEGAL LOT NO. BLOCK TRACT OR SUBDIVISION A <br /> DESC. <br /> ONMER - ADDRE,S/S CITYIZIP PHONE <br /> LO/l7/)J�t�/���e�Clf� .A11� /CCC?���(��c-E�Cr/�/.//�J/G� <br /> TENANT NAME CONTACT FOR PERMIT P�tiy3 <br /> �E ��T,��s.�,��s 1;,� �i�� a���y--, �� �l'1C� E-MAIL �z�rJ�a-3� <br /> Z`bF�A� A66 S ` � H <br /> CONTR.LICENSE M /���� � `�//7� <br /> � �- I <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ,, / � 9v�n 'G`� <br /> L� /i C/�i��eKsl� � _E�edric _�Gas_Other � ,Gj�Lv, I <br /> �� — � <br /> IWO K DESCRIPTION I <br /> %G�d G�u�% t,� QEIOL�/�Te �i�-�rSe/ls, G!.�(' �FST/1�o�f ���s <br /> PLUMBI G MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C -air handling unils I <br /> Dethtub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower . Water heater <br /> � Kitchen sink&dlsposal Gas fheplace � . <br /> � Dishwasher Gasrange � <br /> i Clothes washer Clolhes dryer <br /> i Water heater Ranye hood <br /> i _ Sink (service/barhnop/etc.) � [xhaust fan <br /> ' (3ack11ow preventer Heat pump <br /> �, Urinal Unil heater <br /> ', Drinking Fountain _ �oiler <br /> � Floor drain Relrigeration <br /> Grease tra�� _ Woods�cve <br /> Roo(drains Other <br /> Olher <br /> i — — — <br /> I — — ' <br /> CITY OF EYERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby certily ihat I have read and oxamined ihis application and know lhe same to be irue and corred. AII provisions of laws and <br /> ordinances governing ihis type of work will be complied wdh whether speafied herein or nut. The granling ol a permit does no�presume <br /> to,give,authority lo vi te or cancel Ihe provision ol any other stale or local law regulating construclion or the periormance o( <br /> ' �onsiru on.That I aulhonzed by the owner ol this property ir,perform Ihe work br which applicalion is made and I comply with the <br /> I tate Coi ractors L 1827 RCW and 2�J6200 WAC. <br /> �-- S� �-O/� � <br /> � ignaWre Ownei/ onir �od ut rized Agent Dale <br /> � <br /> \ <br /> � - -- ' <br />