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� ` <br /> a <br /> PERMIT APPLICATION <br /> CITY OF EVERETT �ERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org <br /> APPLICATIUNS ARE ACCEPTED FROM 8 AM TO 4 PM g _�� ..�� <br /> SITE AODRESS PARCEL TAX I.D.q PERMIT# <br /> 3�3 I ,rIC� r"n �cx�B- 03'� <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWtJER ADDRES� CITYIZIP PHONE <br /> SK �Q gF�cE��s �S 3( �{�,d� t� �/�,�?,�d1P( <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �.7+l���E E-MAIL <br /> RA R � ` /� DDR I E <br /> if3�/l.�m ( �3 3�����8`�` M��cul• / <br /> CONTR.LICENSE# ,/ _�G'?�Q�/O� R/t�fD 4�y—/- ��p2r '���� <br /> 1ifJr��-. (J <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> 4 Electric ✓Gas_Other �,��� <br /> � -_= <br /> WORK DESCRIPTION <br /> 12EL.GY'�� C��S (JNlT Jf�F�T�C <br /> PLUMBING MECHANICAL <br /> NO, TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEAS <br /> "foilet AIC—air handlin�units <br /> Balhlub Forced air systems <br /> Lavatory(wash basin) � Gas piping <br /> Showcr Water heater <br /> Kitchen sink&disposal _ Gas firepiace <br /> Dishwasher Gas�ange <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(service/barlmoplelcJ _ Exhaust fan <br /> 6ackflow preventer _ Heat pump <br /> Urinal Uni�healer <br /> Drinking Fountain _ Boiler <br /> Roor drain Refrigeration <br /> Grea�e trap _ Woodslove <br /> Roof drains Other <br /> O�her <br /> _ _I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriify that I have read and examined ihis appiication and know Ihe same to be true and correct. All provisions oi laws and <br /> ordinances governing this lypa of work will be complied�vith whelher specifed herein or not.The granting oi a permit dnes not presume <br /> to gi��e authorily t iola�e or can the rovision of any olher stale or local law regulating construction or the performance of <br /> conslructi . "I � am hori d y owner of this property to perform e wo forwhich application is made and I comply with the <br /> Slale Co Irac r a 8 7 � 296200 WAC. <br /> � �� � <br /> Signature oi wned ontraclodAulhcrized Agent ale <br />