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� <br /> PERMIT APPLICATION ' <br /> CITY OF EVERETT PERMIT SERVICES i <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 — FAX 425-257-8857 —www.everettwa.org <br /> i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> In / ^ �y - � . ,-- I <br /> � h l i-1ti�1. �/I�/•-- �'�� Lj�iG('�� 7G � C C '�7 � I C ' .��IC•.'� ��--� <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVI�IO7N p <br /> DESC. j� I ���I II. 1=� ��I6I,'ltfl; �4fl�ll�'�S <br /> OWNER ADDRESS C /ZIP PHONE <br /> � <br /> .�il�l�iiU��`, �'C � 1IID D��h( II(� , L'1'i-1Y'�-1a��11 ��IuiC�r �►i�; i�=; („� , <br /> TENANT NAME CONTACT FOR PERMIT PHONE �pk �1 S- (�/yJ <br /> ����1��(�1'lt� ��.�.���' ��illii �'�'�li.��i e•Mn��c�mG.wiuu� 1 k�cc au �c�, <br /> � oR � �R�ss in2 r"p�N�� �` \ <br /> ����r <br /> CON7R.LICENSE k <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK ! <br /> ��i�lU��"�i}lU.l��i(�I1.1 � 'i� � 1` _ei�c�r�c _�as_om�� -j�>� ; <br /> WORKDESCRIPTION - (�`�li �'II�;I�I� i � � ���� � v�r`��f) '`{ I <br /> l,!'��U'llil�, t.�'11��YC� l'���d,l �#'L. G7:�u' �� ��4`r_'� t';�s:l�r4t�N(' <br /> IP�UMBING MECHANICAL i� <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIxTURE OR ITEM i <br /> _ Toilet A/C-air hantlling units II <br /> _ Ba1hWb Forced air systems <br /> _ Lavatory pvash basin) Gas piping <br /> Shower Water heater <br /> _ Kitchen sink&disposal Gas fireplace I <br /> I _ Dishwasher _ Gas range i <br /> _ Clofhes washer _ Cluthes dryer <br /> _ Water heater Ranye hood �I <br /> _ Sink(service/badmop/elc.) _ Exhaus�fan � <br /> _ 6ackflow preventer Heat pump �' <br /> Urinal Uni�heater <br /> Drinking Founlain Boiler i <br /> _ Floor drain Re(rigeration � <br /> _ Grease trap Woodsiove I <br /> Root drains Other <br /> _ Other _ i <br /> CITY OF EVERETT IOCAL SALES TAX CODE IS J705 I� <br /> I hereby ceritity that I have read and examineC this application and know the same to be true and correcL All provisions ol laws and I <br /> ordinaces goveming this type of work will b0 co�ryplied wilh whelher specified herein or noL The granting of a permil does not presume <br /> to give authonry�o violate or cancel�he provisiprS o(any olher state or local law regulaling consUuclion or the performance o( ��, <br /> construcl�oa That I am aulhorized by the ow r ol lhis property to peAurm the work for which application is made and I comply with the i <br /> Stale Contractors Law 18.27 RCW and 29 20U WAC. , <br /> , -.. ������ �' <br /> SignaWre ot OwnedConlrac dAu orized"Agent Date i <br /> �-- _ _ _ � ` <br />