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SITE <br />DESC. <br />� 'ERIVaIT APPLICAT �N <br />CITY OF EVERETT F�ERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-BB 10 —'rAX 42G-25%-8857 — www.everettwa.org <br />, <br />AP'�LICATION8 ARE ACCEPTED FROM �3 AM TO 4 PM � ��{ -�% '} <br />�3 (�xlm�mt' i.ari0� <br />LOT NO. �,_ I BLOCK <br />TENANTNAME <br />PARCEL TAX I.D. N <br />TRACT <br />f�QDHE8S <br />,4�'f� ��(!E <br />CONTACT FOR PERMIT <br />�/Ptf"'.�1P�Ca, �/Q� <br />PMONE <br />"-75U _ <br />CQN7RACTOR � p,n�,,,� ODRE85 � CITYRIP �P�X�ON�� <br />CONTR. L10EN$E U%i�iN`7`+`/'�� �S/� 7�/V�I� �(ica-C- --��/(�' <br />� <br />USE OF BUILDINO � <br />WORI(D SC� RIPTION � �� <br />e( �LJLe� <br />N0. I TYPE OF FIXTURE OR ITEM <br />Toile� <br />Bethtub <br />Lavatory (wash basin) <br />Shovrer <br />Kitchen sinY. 8 disposel <br />Dishwasher <br />clotnes wesfier <br />Leundry trey <br />Sink (servicelbodmop/elc ) <br />Beckflow preventer <br />Urinel <br />Dnnking Fountein <br />Floor drein <br />Greeso trap <br />Rool dreins <br />Other <br />HEAT SOURCE <br />_ Electric ✓ Ges <br />Olher <br />•�5�70 <br />�i//�i- <br />CONTRACT PRICE OF WORK <br />N0. I TYPE OF FIXTURE OR ITEM <br />AIC — eir handling units <br />Forced elr syslems <br />Gas piping <br />Water heeler <br />1 Ges hreplece <br />L Gas range <br />1 Clothes dryar <br />� Renge hood <br />Exhaust len <br />_ Heet pump <br />Unit heater <br />�` Boller <br />� Refrigeretion <br />Woodatove <br />Other <br />CITY OF EVERET7 LOCAL SAlE8 TA% CODE 19 J106 <br />I fiereby ceritily thet I hev� read end examined lhis applicetion and knaw the eame to be true and cottect. All proWalons ollews end <br />ordinaces goveming this type ol work will be complied vnth whether specifiad hereln o� noL The grenUng of a permft doea not presume <br />to give euthority to violete or cancel the provision ol eny other slete or locel law raguleUng eonstrudion ur the ��erlarmence ol <br />construction. That I am authorized by 1he owner of this property to pertortn tho work (or which epplication Is mede end I comply wlth lhe <br />State Contradors Law 18.27 RCW and 296.200 WAC. , <br />ll <br />2 <br />