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P�RMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CtOAP. STREET, EVERETT, WA 98201 <br />� 425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />SITE ADDRESS <br />7v�o c��,, <br />LEGAL LOT NO. <br />TFNANTNAME <br />CONTRACTOR <br />p�4' 7 NiT� <br />CONTR. LICENSE # <br />USE OF BUILDING <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO A PM <br />BLOCK � TRACT <br />rc <br />PARCEL TAX I.D. # <br />B�vE�C-y� ���p. t <br />CONTACTFORPERMIT <br />� /r�"�17 FI�A+VkU �J <br />ADDRESS <br />P�/�IB�r d HTL— IL�GI�i 13�i A�' G�/ <br />� <br />HEATSOURCE <br />Eleclric Gas Olher <br />vr. 9�.�3 <br />P,ERMIT # <br />��1�v-iU <br />�i1��2N��-���z- <br />PHONE <br />u ZS- �s-.�-7 LS <br />CITYIZIP PHONE <br />C YN'�' � Z5 � 75-� yG �� <br />95t�3� <br />CONTRACT PRICE OF WORK <br />i� .�Cl�, �G <br />WORK DES^RIPTION ( � � <br />.�nl� i ALL /' GL�%i fT.7 /jliCki�O�-t,' P�'�i/C--Yt/� .. <br />NO. I TYPE OF F�XTUFE OR ITEM <br />Toilcl <br />BathWb <br />Lavalory (wash basin) <br />Shawer <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />W aler healer <br />Sink (sorviceNarlmopletc.) <br />Backllow preventer <br />Urinal <br />Drinking Foun�ain <br />Floor drain <br />Grease trap <br />Roof drains <br />Othcr __ <br />MECHANICAL <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — air handling unils <br />Foroed air syslems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas rango <br />Clolhes dryer <br />Ranc�e hood <br />Exhauslfan <br />Heal pump <br />Unit F.eater <br />Boiler <br />Refrigeration <br />Woodslove <br />C!N OF EV�RETT LOCAL SALES TAX CODE IS 3705 <br />I hereby ceriti(y thal I have read and examined this application and know lhe same to be true and correct. All provisions ol laws and <br />ordinaces 9overning lhis lype ol work will be complied wilh �vhelher specified herein or nol The c�ranling of a permit does not presume <br />lo give authority lo violale or cancel th� orovision of any othar slale or local law rec�ulating construction cr the per(ocnance of <br />conslruction. That I am authorized by lhe owner of Uiis property to pedorm lhe work for which appiication is made and I comply with the <br />