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� <br />� PERMIT APPLICATION <br />CITY 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 />SITE ADDRESS � <br />� '/ � i,t/Gt� <br />LEGAL LOT NO. BLOCf( <br />DESC. <br />OWNER <br />TENANTNAME <br />� ��%% I <br />%�� l�/ ��l (?_�� t- �J i <br />CONTRACTO�� <br />i <br />CONTR. LICENSE p %�����I�� <br />1 <br />USt OF BUILDING <br />i <br />PARCEL TAX I.D. # <br />TRACT OR SUB�IVISION # <br />CONTACT FOR PERMIT <br />HEATSOURCE <br />_ Eleclric _ Gas _ Other <br />� � - (,t.� _. O }S <br /># <br />CITY/ZIP PHONE <br />PHONE ;Z�j ' SS ; ' / �i h— <br />CONTRAG7 PKIGt ur �nvnn <br />% <br />, .. -. . . � - / � � '' n � � � /G���IL� l� �^-- <br />ORKDESCRIPTION 5'/Cvtt//1c( � Wi�/lS �q/ri�e/Ao�f S'/rvr/t�/'�G- e <br />3"'cl=f,`ct Si�..,r�;,� n,a;e w�.,�s �o m�K y i/ � /^�-��,��� ,�.t <br />z L G C'/J� �I/e/ / U L�c'C/ "� � <br />A/ ) � ) <br />l� fV ,r�L�MhI i� 1-U/ � ��1 '✓ /�c�/� ��t' � '"_�.........� <br />/'„ �i(+ <br />N0. NPF OF FIXTURE OR ITEM <br />Toilcl <br />� BalhWb <br />Lavalory (wash basin) <br />� �Shower <br />Kitchen sink 8 disposal <br />Cloth�s washer <br />_ Walerl�ter <br />Sink (sern N� <br />Backflow pre i <br />Urinal <br />Drinking Founl2 <br />Floor drain <br />Grease lrap <br />Root drains <br />Other <br />NO. I TYPL OF FIXTURE OR ITEM <br />AlC — air handling unils <br />Forced air systems <br />�Gas piping <br />W ater heater <br />Gas firep�acu <br />s range <br />CI es dryer <br />EzhausiYan <br />Heat puinp\ <br />Unil heater <br />Boiler <br />Refrigeralion <br />Woodslove <br />CIN OF EVERtTT LOCAL SALES T!U CODE IS J105 <br />�' I hereby ceritify thal I have read and examined this application and kno�v the same lo be true and wrrecL All provisions ol laws and <br />ordinaces goveming this type o( work �vill be complied .Jlh �vh�ther spocified herein or nol The granling of a permit does nol presume <br />�• to give authuriry to violate or cancel lhe provision of any other stale or local law regulating constructien or ihe performznce of <br />conslruclion. That I am aulhorized by ihe owner of lhis property to perform the work (or which applicalion is made and I comply wilh ihe <br />State Conlradors Law 1827 RCW and 296200 WAC. <br />�� <br />k <br />