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SITE AD�!::�:. <br />LEGAL� LOT tJO. <br />DESC. ! 'r <br />TFNANTNAME <br />CONTRACTOR <br />PcRMIT APPLICATION <br />CIT ;' OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everetrr�2.org <br />APPLICATIONS AR� <br />ADDRES3 <br />FROM 8 C.M TO 4 PM <br />TAX I.D. # <br />FOR PERMIT <br />���oa� <br />��� �� <br />��1-�7-2s <br />r � <br />���'//+'YND.�-�%i.Y/%n'I-- � ���,�r.��r,,rG .�ry�i�re �1e ��ir� 9�.��,� <br />CONTR. LICENSE # <br />ih -z 3 U7 /-'GH�f'G Gl9 �N y1��.�u�y�� _ <br />USE OF BUILDING I HEHT SOURCE � CONTRACT PRICE OF WORK <br />WORK DESCRIP?ION <br />�/'��J ���� �',�- <br />:G] <br />Z <br />�' <br />BING <br />TYPE OF FIXTURE OR ITEM <br />Toilet ' <br />Bathtub " <br />Lavatory (wash Lasin) . <br />Shower <br />Ki�chen sink & dispo:�al <br />Dishwasher <br />Clothes washer <br />Waler healer <br />Sink (servicelbor/moplelc.) <br />Backflow preventer <br />Urinal <br />Drinkin� Fountain <br />Floor drair <br />Grease irap <br />Roof drains <br />Othcr <br />_ Eleclric � Gas _ Other <br />NO. I TYPE OF FIXTURE 7R ITEM <br />,�/C – air handling uni:s <br />Forced air syslems � <br />Gas pipmy <br />Water heater � <br />Gas fireplace <br />Gasrango ' <br />Clothes dryer <br />Range hood - <br />Ezhaust fan <br />H�2tpump <br />Unit heater <br />Boiler <br />Ro(rigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify Ihat I have read and examined this application and know the same lo be true anC correcl. All prosisions of laws and <br />ordinaces goveming this lype of work will 6e complied wilh whelher specified herein ar not. The granling of a permil uoes nol presume <br />to give aulhoriry lo violale or ca�icel the provision of any other slate or local law rec�ulaling consiruclion or lho performance of <br />conslruction. T an authorized he owner o( this pmperty to pedorm lhe work (or v�hich application is made e�d I comply with the <br />Slate Conlr� ors I,�w 1t�11`JljC and 29G.200 WAC. <br />-- -- iJ—_ �(.%!y" �.7 � <br />