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P�RMIT APPLICATI(��� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEpAR 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 - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />-., :-� -, <br />LEGAL LOTNO. <br />BLOCK I iRACT <br />PARCEL TAX I.D. q <br />%'L�1/Gc <br />7'F.NANT NAME I CONTACT FOR PERMIT <br />CONI'RACTOR �it �/�/�-'IrtiY C�) <br />CONTR. LICENSE p <br />USE OF BUILDING <br />WORK DESCRIP710N <br />NO. I TYPE OF FIXTURE OR ITF.M <br />Tollot <br />Balhtub <br />Lavalory (wash Gasin) <br />Shower <br />Kitchon sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundrytny <br />Sink (servica/bar/mop/etc.) <br />BackOow pruvonter <br />Urinal <br />Drinking Foun�ain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />ADDRESS <br />S'nt f- 3Qn AvL . % <br />HEATSOURCE <br />Elodric Gas Olher <br />CITY2IP <br />�l.q-�C.0 <br />IT <br />PHONE <br />v3 <br />PHONE <br />.'_c�G— 76 z- T7/� <br />CONTRACT PRICE OF WORK <br />NO. � TYpE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas Tireplace <br />Gas range <br />Cbthes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />I hereby ceritify that I havo road and examinad this application and know tho same to be true and corrnct. All provisions of laws and <br />ordinaces governin9 this lypo of work will be complied with whether specified herein or not The granling of a permit does not presume <br />to give authoriry ro vinlate or cancol tho provision o( any othor slale or local law regulaling consWction or the performance of <br />construdion. That I am aulhorized by the owner of this property lo perlorm the work for which appficalion is made and I comply wilh the <br />Slate Conhactors Law 18.27 RCW and 296,200 WAC. <br />/ �� �l-�... � �y�f <br />