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P�tRMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-8610 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS �'/1 U�� �' I Ck �'IZ � <br />/ � V` <br />LOT NO. I BLOCK I TRACT <br />DESC. <br />OWNER <br />TENANTNAM <br />CONTRACTOR <br />CONTR. LICENSE # <br />PARCEL TAX I.D. M <br />ICONTACT FOR PERMII <br />��T�a��� �� �y. ADDRESS <br />I'f <br />USE OF BUILDING <br />WORK DESCRIPTION <br />> 13�� S Lc� c�'�S� <br />HEATSOURCE <br />Electric Gas Other <br />CITY2IP <br />k-3 -o <br />.* <br />03 � <br />PHONE <br />PHONE <br />7�'E'2.����Z��7 <br />CONTRACT PRICE OF WO�i( <br />�„S�Il���} �lL �� <br />E1YC' SCI�/IJ)�S11��' �f��nt '� ilr�n� <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bath�ub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water healer <br />Sink (servicelbar/moplelc.) <br />Back(low prevenler <br />Urinal <br />Drinkin� Founlain <br />Floor drain <br />Greaso lrap <br />_ Roof drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas piping <br />Water hoaler <br />Gas tireplace <br />Gas range <br />Clothes dryor <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodslove <br />Other�2�� �o�ri S'i�� Sy)'��'` <br />CITY OF EVERETT LOCAL SAIES TAX CODE IS 3105 <br />I herol�y ceritify that I have read and examined this application and know the same to be true and correcL All provisions of laws and <br />ordinaces c�veminc� this type of work vrill be complied with whether specified herein or not. The granting o( a permil does not �.,eex,ie <br />to give autliorily lo violale or cancel the provision o( any olher state or Iocai law regulating conslruction or the pedormance of <br />construclion. That I am aulhorized by Ihe owner of this pmperry to peAorm the work tor which applicalion is made and 1 comply with the <br />Slale CoNractors L�w 1827 RCW and 296.200 WAC. <br />(! � <br />2�-0 <br />