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PERMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CtDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />SITE ADDRESS <br />� J ,�' �;:> C V l <br />TF.NANT NAME <br />CONTRACTOR <br />CONTR. LICENSE ll <br />USE OF BUILDING <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />PARCEL TAX I.D. # <br />TRACT <br />=�or �I����° �-�!� �'� <br />CONTACTFORPERMIT <br />v I.; <br />ADDRESS CITVlZIP <br />HEATSOURCE <br />_ Elec�rir, _ Gas _ Olhor <br />WORK DESCRIPTION � <br />�,� �, s I, �, � 1v <br />� In 5 1� I� ��� %i�' <br />n_����ii'�i� �;/u c / �iv,-l� �'� �: cow,,��� <br />NO. <br />IYPE OF FI%TURE OR ITEM <br />Toilel <br />Bathtub <br />Lavalory (wash basin) <br />Showar <br />Ki�chan sink 8 dispasal <br />Dishwasher <br />Clolhes washcr <br />Walen c�atcr <br />Sink (scrvice/b;idmopletc � <br />BackOnw proventcr <br />Urinal <br />Drinkinc7 Founlain <br />Floor drain <br />Grease irap <br />Rool diains <br />Olhar __ <br />PERMIT il <br />i:�� �c��� <br />PHONE <br />� ����a��'' ��:� ) 3 S`l <br />PHONE < � 3 <br />PHONE <br />CONTRACT PRICE OF WORK <br />�L,C ✓ l�Ci ! i <br />�� <br />HANICAL <br />c� L� �� <br />NO. I TYPE OF FI%TURE OR ITEM <br />F/C — air handliny units <br />Forced air systems <br />Gas piping <br />Water ha: tr,r <br />lias tueplacN <br />G�s r,in�7r <br />Cloth�.ti dr,�i <br />Range hood <br />Ezhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Rofrigoralion <br />Woodslove <br />Cthor _ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I heroby ceritily Ihal I havr. read and examined ihis application and know lhe same lo be true and correct. All provisions ol laws and <br />ordinaces govorning lhis lypo o� work will be complied with whe�hc�r speci(icd herein or noL The grantinn o( a permit does not presume <br />to yrve authority lo violale or cancel ihe provision of any other state or lor,al law regulaling consWclion or �he perlormance ol <br />cons�rur,lion. That I ari� authorized by ihe owner ot Ihis property lu pertorm the wotk lor which app:icalion is made and I comply with �he <br />Slate CoNraclors I,ew �7 RCW and 296200 WAC. <br />1 <br />!• � / , (-` y ��' .r L� n% <br />SignaW�.o( OwneriConlractoUAuthorized Agent Dale <br />