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P�RMIT APPLICATIG�� <br />CITY OF EVERET'f PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />�� 425-257-8810 - FAX 425-257-8857 - www.everettwa.org �� �"� 7 <br />,�;;,,�� �7 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4�M - DEBIT d CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADD ESS <br />�� Bc-w <br />LEGA LO NO. <br />oesc. � _�, <br />OWNE <br />����, <br />TENANT NAME, <br />C�Nov c-� <br />coNrRacroa ��,�A{�'�` <br />J <br />CONTR. LICENSE M) � Qr � � � <br />USE OF BUILDING <br />WORK DESCRIPTION <br />N��l srN�� F�4�r � <br />� ,, <br />,.� ,; ;. <br />�� � � <br />N0. � TYPE OF FIXTURE OR ITEM <br />Tol let I f l/ <br />Balhlub h / <br />Lavalory (wach basln) ✓ <br />Showor ✓ <br />Kitchen sink 8 disposal �C I <br />Dishwasher � <br />Clothes washer � <br />Sink (servire/bar/mop/etc.) � ( <br />Backtlow preventer <br />Urinal <br />Drinking Fountaln <br />Floor drain <br />Greaso�rap <br />Roof drains <br />Olher <br />. <br />� <br />4"�j��,�� d'� <br />i <br />� <br />PERMIT / <br />-_ 9 � 2� <br />M1"�D-/Sb� <br />CONTACT FOR PERMIT PHOHE <br />�►Id+�N1 ��GN �i?�►o-'�`�: <br />�a+� �Kre► st ��" PH�K-t�o•'N <br />. <br />��-i 7 -ov> wl�l,Pnrisv 7��>r <br />HEAT SOURCE <br />_ Electdc %��es _ Other <br />�� <br />;�- <br />NO. I <br />CONTRACT PRICE <br />IWj � <br />� <br />� <br />TYPE OF FIXTURE OR ITEM <br />AIC - alr handling unils <br />Forced alrsyslems <br />Gas piping <br />Weter heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit healer <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TA7C CODE IS 3103 <br />I hereby coritity that I have read and examined this eppllcatinn and knew Ihs same to be true and wrrect. All provlsions of lawr and <br />ordinaces governing lhls typo o( work will be complied with whether speciflac herein or not. The granling of a pertnll does nol presume <br />to give eulhority !o violate or cancel lhe provislon of any other siate or local la.. r�gulaling construcUon or the performance of <br />conslruction. That I am authorized by ihe owner of lhls property to peRorm ihe work (or which applicadon Is made ar,d I comply with the <br />Slale Contractors Law 18.27$�W arl/ 296.2pp WAC. _ _ � <br />!/ <br />� L <br />