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PtRMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3Z00 CEDAR STREET, EVERETT,WA 98201 <br /> 425-'S7-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM 3 �-a 6�7 <br /> SITE ADDRESS � �j/ , � F'�RCEL TAX I.D.N PERMIT# <br /> .7 �J%'� = v�l� / tl'P� � � �G 3 -� � <br /> LEGAL LOTNO. BLOCK TRACT <br /> OESC. <br /> OWNER ADDRE55 CITV2IP PHONE <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> (J�/�/� � � ,y� �s� �7�.� ;-- hi�,� sG�- �s-3�� <br /> CONTRACTOR /—�C � 9„ ADDRESS�-5 � �+�. '�CITY2IP PHONE ,' <br /> l5C �4.J1.J�WI/'(/ 36G...�es� <br /> CONTR.LICENSEk C�JCJ�,�yJ- � 2�C� /" <br /> - ��� J ✓ <br /> d <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> � � � _Electric _Gas_Olher _ <br /> WORK E CR TION �y �J y/y, �// � yl <br /> /n � �� C���./�r�./�'e'„"�C �� �F�✓15`f '� ��� � ��l <br /> i 3 4, I U <br /> PLUMBING MECHANICAL <br /> NO. TYPC OF FIXTURE OR ITEM N0. TYPE OF FUCTURE OR ITEM <br /> Toilet NC-air handling units <br /> Da�htub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kilchen sink 8 disposal Gas lireplace <br /> Dishwasher Gasran�e <br /> Clolhes washer Clolhes dryer <br /> Walor hea'er Range hood <br /> 3ink(service/badmop/elc.) _ Exhausl fan <br /> Back�low prevenlor Heal pump <br /> Urinal Unit heater <br /> Drinkinp Fountain _ Boiler <br /> Floor drain _ Refrigeration <br /> Grease Irap _ Woodslove <br /> Roof drains _ Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 7105 <br /> I hereby ceriti(y that I have read and examined this application and know the samo to be true and correct. All provisions of laws and <br /> ordinaces governing this type ot work will bo r.omplied with whether specified herein or not.The granting ot a permit does not prosume <br /> to give authorily lo viola:e or cancel lhe provision of any other state or local law regulating conslruclion or the performance of <br /> construction.That I am authorized by ihe owner of this prop�rty to perform the work for which applicalion is made and I comply with ihe <br /> State Contracinrs Law tfi27 RCW and 296.200 WAC. <br /> Signature ot OwnedContractor/Authonzed Agent Date <br />