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P�RMIT APPLICATI(,�V <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SIT�OlDORES$ � �I� I PARCELTAXI.D.A1� 07� � ��� I PER;�MIT# <br />Ll Vl �)/IdH / /�AZ57_i��0lOU/D'u �/�/%j� <br />LOTNO. /l I 6LOCK I TRACT <br />uwnen nwnta� ci�riur ru�ne <br />n�► Tra� p���►�,-1' ��s-z� �y�`- ��,�—� <br />�NANT NAME I l CONTAiT FO�! PERMIT 1/]7S v/ QG�� yHONE <br />%// C. /O / <br />CONTRACTOR <br />CONTP.. LICENSE N <br />USE OF BUILDING <br />WORK DESCRIPTION <br />��o <br />ADDRESS l��fJ� <br />pOD,T� <br />�K,sr,�� �J:�� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toiiet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />� Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />8acktlow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greasetwp <br />Roof drains <br />Other <br />HEATSOURCE <br />�.yyCITY2IP � PHONE <br />_ / <br />Electric Gas Olher <br />Z� <br />CONTRACT PRICE OF WORK <br />NO. � TYPE OF FIXTl1RE OR ITEM <br />A/C — air handling units <br />Forced alr systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Ciothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unitheater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />' I hereby ceritify that I have read and examined this application and know the same to be true and correct. AI� � rovisions of laws and <br />ordinaces governing this rype of work will be complied with whether specifted herein or not. The granling of a permit does not presume <br />ro give authoriry to violate or cancel the provision of any other state or local law regulating construcdon or the performance of <br />I construction. That I am aut1{orized by the owner of this properry to perform the work for whi:h app�(cation is made and I wmply with the <br />i Slate Contractors Law 18.2/J,qCW and 295200 WAC. / <br />