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SITE ADDRESS <br />) � _ <br />LEGAL LOTNO. <br />DESC. <br />OWNER <br />0 <br />( � � <br />TENANT NAM • <br />2` `( � <br />CONTRACTO <br />CONTR. LIC[NSE # <br />USE OF BUILDING <br />� <br />WORK DESCRIPTI( <br />�Ltiw� <br />�� �? <br />�:[.71 <br />PCRMIT APPLICATII�N <br />CIl'Y 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 FROM 8 AM TO 4 PM <br />w ti, .� r <br />IPARCEL TAX I.D. # <br />TRACT OR SUBOIVISION # <br />ADDRESS C <br />,p 1= � , G <br />CONTACT FOR P M <br />I �Ou �t f YC , <br />DDRESS C <br />HEATSOURCE <br />Electric K Gas _ OlFer <br />:����� c��,�j wur('►^G� �<<,�C�lu <br />,a � c7 � r� <br />PLUMBING <br />TYPE OF FU. '.E OR ITEM <br />1 Toilel <br />BalhWb <br />`? Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (serviceNar/mop/etc.) <br />Back(low prevenler <br />Urinal <br />Drinking Founlain <br />� Floor drain <br />Grease lrap <br />Roo(dreins <br />Other <br />NO. <br />PERMIT # <br />PHONE � <br />�g0•-? 7l3 <br />0 <br />�,.,.,,� , r �, <br />!IZ P ONE (' o t� <br />i CONTRACT PRICE OF WORK <br />� , n <br />r- �' � ti� ��' � <br />, <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handlinc� unils <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />C�othes dryer <br />Rango hood <br />Exhausl fan <br />Heal pump <br />Unit heater <br />Bailer <br />Re(rigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES T!il( CODE IS 3105 <br />I hereby cerilify that I have read and examined ihis applic2tion and know the same lo be lrue and correct All provisions of laws and <br />ordinaces yoverninc� lhis lype ot work will be complied wiUi whelher specified herein or nol The grantiny of a permit does not presume <br />to c�ive aulhority lo violale or cancel the provision of any other stale or local law regulaling consWction or the performance or <br />cr�slruclion. Thal I am authorized by Ihe owner o( lhis property to peAorm lhe work for which application is made and I comply with lhe <br />S(ale Conlractors Law 18.27 RCW Aiid 296.200 WAC. <br />% 2 � J� <br />_ �- <br />