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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — wv+w•everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />�-> 3 p St r�,� �t l� n•nll�.: �r <br />� <br />LFGAL LOT NO. RLOCK <br />VYYIYcn l <br />f'1 r'l K(JC S� C�/�(�% S / ii�- Lt�A''IZir <br />TENANT NAME <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />�%,!, l% S � ��%�'CI�/nAI��.J A_ <br />�CONTACT FOR PERMIT <br />��yS��%�� ��O/� S <br />CONTR. UCENSE # �� �S �G� �3 y �-��U <br />USE OF BUILDING I <br />S�/����' f///� ��c �;'t"�� <br />WORK DESCRIPTION <br />NO. <br />I �,i�c,�i'' I'yuPro✓�.a��'f, <br />I <br />TYPE OF FIXTURE OR ITEM <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mopletc.) <br />Backtlow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other _ <br />HEATSOURCE <br />Electric � Gas _ Olher <br />.: �' . <br /># <br />v(o[g6So� <br />CONTRACT PRICE OF WORK <br />�7,�D00 <br />NO. I TYPE OF FIXTURE OR ITEM <br />NC—airhandlinc��ioils� . <br />Forced air syslems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unil heater <br />Boiler <br />Refrigeretion <br />Woodstove <br />Other <br />CIN OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby cerilify lhat I have reatl�and examined lhis application and know the same to be true and correcL All provisions of laws and <br />ordinaces gtiverning this type of work vill be complied with whelher specified hercin or not The granting of a permit does nol presume <br />to give authorily tp violate or cancel th� provision of any olher state or local law renulating conslruliealion is made and I comply with lhe <br />conslruction. Thal I am uthorized by tlie owner of this property to perform lhe work for which app <br />Stale Contracto��Law i�8.27 RGW and 296.200 WAC. <br />> <br />��%��'� � `�� _ _ . <br />