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81TE ADDRESS �a^�D <br />� <br />LEGAL LOTNO. �� <br />DESC. <br />TENANT NAME <br />CONTRACTOR � <br />CONTR. LICEN E p <br />L <br />USE .`F BUILDING <br />F� :RIVIIT APPLICATIt,��l <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-fi910 — FAX 425-257-8857 — www.everettwa.org <br />APPLI(:ATIONS ARE ACCEPTED FROM e AM TO 4 PM <br />BLOCK <br />WORK D SC� R1PTION � <br />e �CJL�/ �� <br />NO. I TYPE OP FIXTURE OR ITEM <br />� 1"oilet <br />BatMub <br />Levatory (wesh besln) <br />� Shower <br />� Kilchen aink & disposel <br />� Dishwasher <br />Clothes wesher <br />Laund,y Vay <br />Sink (servicolbarlmopfelc.) <br />Backflow preventer <br />V Urinel <br />Drinkfng Fountein <br />Floor drein <br />Gteese trap <br />Roof dreins <br />Other <br />ppRG�L TAX I.D. p <br />TRACT <br />P�ERMIT N <br />, ri �„� - l -� <br />�: <br />�VYR��V � ��E D� ��%�/� 'Jlr <br />Y/Y �/ {M�[.�[��! � ' <br />CONTACT FOR PERMIT PHONE <br />I �l'P.t�'�. �/QKiheJ �2S-75U -- <br />DDRESS CITYRIP PHON <br />� y�'-d'- � <br />95/5l � f� ei/�/OZ� �Q+�1�i�L/7�{' <br />!�c%4— <br />HEAT SOURCE GON t Knv i rnn.c vr n...�.. <br />/ <br />Electric V Gas _ Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />AIC — air handling unAs <br />Forced eir cyslems <br />Ges piping <br />� Weter heeter <br />1 Ges fireplece <br />L Ges range <br />,l Clolhesdryer <br />_!-� Renge hood <br />� Exheusfien <br />_ Heelpump <br />Unit heeter <br />�'` Boiler <br />Refrigeretlon <br />Waodstove <br />Olher�— <br />� _ <br />CITY OF EVERETT LOCAL SALES TA7( CODE 19 7106 <br />I hereby ceritity ihat I heve reed end exeminad lhis eppllcetion end know lhe seme to be lrue and corracl. All provislons ollews end <br />t g1We eulhority tonvioleteyo cencel he provl on oll ny other slete oPlocel aweregulaUng�construfcUoin o�the pertulrtnence p} Presume <br />construdion. Thet I am authorized by the awner of this property to perfortn the work fo! which eppllcetlon ia mede a�d I comply w�1h the <br />Slate ConVeclors Law 18.27 RCW end 296.200 WAC. � � <br />�� ' 2 ° t� <br />rl onlrectod u odze gent ele <br />