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SITE ADDRESS ^ C <br />L <br />LEG LOTNO.� <br />DES�. S <br />!� <br />OWNER m,� 7 <br />„�,.., <br />TENANT NAME <br />CONTIWCTOR <br />CONTR. <br />PL.�MIT APPLICATIOi <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />jJlill � 411 R�' <br />BLOCK TRACT <br />PARCEL TAX I.D. N PF�tM�1T M <br />� �( ;� <br />�il/E <br />CONTACT FOR PERMIT <br />I �rP�f-�P1a <br />h e� <br />a _ .,a� � • r- <br />9�� <br />PHONE <br />�15-75�/__ <br />(, /Jm _. Tn DDRESS � CITYIZIP ��N�� <br />l�Y-f' Q rr.�,c <br />-". n,T�i� 42rt�iQD 95/S% �f� �i/�/DZ� [�2�L°,�oWl/Zd' <br />USE OF BUILDING <br />WORK D SC� <br />� � O � <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Levalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothas wes6er <br />Leundry trey <br />Sink (service/ber;mop/etc ) <br />Backflow prevanter <br />Urinel <br />Dnnking Fountain <br />Floor drein <br />GrPase trap <br />Rooldreins � <br />Other <br />- HEAT SOURCE I CONTRACT PRICE OF WORK <br />Electric ✓ Ges _ �ther <br />� n <br />� v <br />NO. I TYPE OF FI%TURE OR REM <br />AIC — air handling unfls <br />1, forced eir syslems <br />�Gas piping <br />Water heeter <br />1 Gas fireplece <br />L Gasrange <br />_L Clolhes dryer <br />� Renge hood <br />� �, Ezheusl lan <br />__ Heat pump <br />UNt heater <br />'� Boller <br />� Refngeratian <br />Woodslave <br />Othar <br />CITY OF EVERETT LOCAL 8ALE8 TAX CODE 19 �106 <br />I hereby cerility ihet 1 heve read and exeminod thls epplicetion end know the seme to be true end conecl. All provlslona of laws and <br />ordineces goveming lhis typo ol work will ba complied vnlh whether apecified hereln or nol. Tha grenNng of a permlt doea not preaume <br />to give eulhority lo violete or cancel Ihe provision ol eny other stete or local law rugulating canslructlon or ihe peAortnance o� �th the <br />construclion. Thet I am euthorized by the owner of this property ta perlortn Ihe work lor which epplicalion la made end I comply <br />Stete Contredors Lew 18.27 RCW end 296.200 WAC. � <br />