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PtRMIT APPLICATI(�IV <br />CITY OF EVERETT PERMIT SERVIC�S <br />3200 CEDAR STREET, EVERETT,',�/A 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE <br />SITE <br />DESC. <br />PARCEL TAX I.D. # <br />a�C� 50� nrx)t <br />ACCEP7ED <br />Jn�lJ�� (vr15i {�() P�()�'iU%�� J`�Fl"iK� 'l1� 1��a j <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />Jo� �ti�cLs �a5-7sy -aa� <br />CONTRACTOR /,��� y C'U�� �' AUDRESS CITY2IP PHONE <br />L_.� Pu &/X 3u7�a � <br />CONTR. LICENSE q f��0 x� ��rnG�O LtiJ ���� �� ��� <br />L <br />i;SE OF BUILDING <br />.���. <br />WORK DESCRIPTION <br />� � <br />� �/ <br />NO. I TYPE OF FIXTURE OR ITEM <br />� <br />Toile� <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Laundry lray <br />Sink (servica/baqmop/elc.) <br />BackOow prevenler <br />Urinal <br />Drinkinc� Founlain <br />Floor drain <br />Greasc lrap <br />Roof drains <br />Olher <br />HEATSOURCE <br />_ Electric �CGas <br />� <br />CONTRACT PRICE OF WORK <br />Olher <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Furced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rangehood <br />Ezhaust (an <br />Heat pump <br />Unit heater <br />�ailer <br />Re(rigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />I heret�y cerilify that I have read and examined this applicalion and know lhe same to be truo and correct. All provisions of laws and <br />ordinaces 9overning this rype o( work will be complied with whether speci(ied herein or not. The grenting of a permit does not presume <br />to give authoriry lo violate or cancel lho provision of any other slate or local law regulating construction or the peAormance of <br />construGion. Thal I am authorized by Ihe owner ol this property to pedorm lho work for which applicalion is made and I comply wilh lhe <br />Stale Contrac7ors Law 18.27 RCW and 296.200 WAC. <br />�� Z <br />