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SITE ADDRE55 <br />LOT <br />DESC. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR ;'TREET, EVERETT, W� 98201 <br />425-257-8810 — F^,iC 425-257-BB57 — www.everetM�a.org <br />4PPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />PARCEL TAX I.D. A <br />( � l"%G�O,� t?i <br />P MIT M <br />��;r->;-s� <br />(�Ir►ior�� �i��e�rlsOr�. LLC 95►4 `��' SI. uE Su:�la. IQ� LakcS�ern 98,� 4:159531y7o <br />TENANT NAME CONTA �T FOR PERMIT PHONE <br />1J�L� `JC.LA�v1..t `{25-754- 1$�fS <br />CONTRACiOR ADDRESS CITY(LIP PHOA!' <br />CONTR. LICENSE � <br />USE OF BUILDING <br />WORK DESCRIPTION <br />NO I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtuh <br />Lavatory (wash basin� <br />Shower <br />Kltchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Laundry tray <br />Smk (service/bar/mop/etcJ <br />Packtlow prevenfer <br />Unnal <br />Dnnkmg Founlain <br />Floor drain <br />Grease irap <br />Roo( drains <br />Other <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />Electric � Gas _ Olher <br />NO. I TYPE OF FIXTURE OR ITEM <br />AIC — air handling units <br />Z Forced air systems <br />� Gas piping <br />� Water heater <br />L Gas fireplace <br />Gas range <br />= Clolhes dryer <br />� Range hood <br />� Exhaust fan <br />Heat pump <br />Unil heeter <br />Boiler <br />Reingerelion <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TAIf CODE IS J706 <br />I hereby ceritdy that I have read and ezamined this applicahon and know the same to be true end corre�i. All provicicns o( laws and <br />ordinaces governing Ihis type ol work will be wmplied with whether spedfed herein or nol. The granting of e permil does not presume <br />to grve authonty to wolate or wncel the provlsion of any other state or local law regulating consirudion or the perfortnance of <br />wnsiruclion Thal +' am� Ihonzed by the owner of this propeAy to pertomi Ihe work for which application is made and I comply with �he <br />State ContraclorS Caw�IB�2ZRGW and 296.200 WAC. . <br />