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SITE ADDRESS <br />LE� LOT NO. <br />DESC. <br />OWNER <br />� r �, <br />TENAMTNAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />7 i <br />APPLICATIONS ARE ACCFPTED FROM 8 AM TO 4 PM a�? (�p-S - � <br />BLOCK <br />CONTRACTOR <br />��-.T i"� C;c�f�G�rRr�.,Gc.�y%Nc�ToNT+�c. <br />CONTR. LICENS N ___ <br />USE OF BUILDING <br />NO. I TYPE OF FI%TURE OR ITEM <br />Toilel <br />82lhWb <br />Lava�ory (wash basin) <br />Shuwer <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />W ater healor <br />Sink (servicePoaJmoplcic.) <br />82ckllow preventer <br />Urinal <br />Drinkinq Founlain <br />Floor drain <br />Grcase ir2p <br />Roo� drains <br />Other <br />PARCEL TN( I.D. # PERMIT�'., <br />,�� <br />39�9c�� �/ �.,r, �` (� ?., _ r;� � — <br />TRACT <br />/1.(JZ -�ilv 'n/� — <br />CONTACT FOR PERMIT <br />�.��.��-_ <br />ADDRES CITY2IP <br />�lg��� ��- /�� � ����� <br />HEATSOURCE <br />_ Eleciric � Gas _ Olher <br />NO. <br />:������. <br />. . <br />� <br />CONTRACT PRICE OF WORK <br />,..��..�,.._.._ �, <br />TYPE OF FI%TURE OR ITEM <br />A/C — air handlin� units <br />�Forced air sys�ems <br />Gas piping <br />� Water heater <br />Gas fireplaco <br />Gas rangc <br />Clolhes dryar <br />� Range hood <br />� Exhaust fan <br />Neat pump <br />Unil heater <br />Boiler <br />Ru(ri�eration <br />Woodslove <br />Olhor <br />CITY OF EVERETT LOCAL SALES TAX CODE IS �105 <br />I hereby cerilily that I have read and examined lhis application and know the same to be lrue ard correct. All provisions of laws and <br />ordinaces c�overning lhis lyp� of work wi�l 6e complied with whe�her speci(ied herein or nol. The granling o! a permd does not presume <br />tu givo authoriry to violale or cancel the provision o( any olher state or local law regulaling conslruction or ihe periormance ol <br />construction. That I am aulhorized by Ihe owner ol lhis property to peAorm Iho work for which appliwlion is made and I comply wilh lhe <br />Sta�e Co/ntray lors Law jB�� R—CyW� and�96200 WAC. <br />��7/� -�../�/ fi> S.'sL.�vX f I L� �'("�li� <br />' � `�� <br />�C=C4>�',f S <br />