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F'CRMIT APPLICATIUN <br />CITY OF EVERETT �ERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />ADDRESS � , <br />r� � <br />' � (- � <br />L� LOTNO. <br />��'dA,� �<�U�%?!J <br />APPLICATIONS ARE ACCEPTED FROM 8 Ah1 TO 4 PM <br />IPARCEL TAX I.D. # <br />BLOCK TRACT <br />ADDRESS CITY2IP <br />G �/ 0 �? - r� [ JF.? L�/ ! ,✓ F✓E>?!'fI, �v� ' <br />PERMIT # <br />3S3 c�F 96 <br />TENANT NAME I CONTACT �OR PERMIT PHONE <br />CONTRACTOR f�.ii7� Cpnij�77Uf�7p.J AUDRESS CITY2IP PHONE �l� — <br />CONTR. LICENSE # <br />r — ��FS- n.a <br />L..E OF BUILDING <br />WORK DESCRIPTION <br />�u�17-2� fr,G�z. s:E, c�F,��,"T;��c �X.ng �37�7�� <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />Eledric Gas Olhar <br />(i'4�1c0 :/ci u„I,�il /fr=r1�+'>J i t-� �r'�;�zic � <br />N0. I NPE OF FIXTURE OR ITEM <br />Toile� <br />Balh�ub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry iray <br />Sink (service/badmop/etc.) <br />Backtlow prevenlPr <br />Urinal <br />�rinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTURE OR I7EM <br />A/C - air handling unils <br />Forced air systems <br />Gas pipinc� <br />� Watarhealer <br />Gas fireplace <br />Gas ranc�e <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Waodslovo <br />Olher <br />CITY Of EVERETT LOCAL SALES TNC CODE IS 3105 <br />I hereby ceritify Ihai I havc read and examined Ihis application and know lhe same to bo true and corrocl. All provisions of laws and <br />ordinaces governing lhis lype of wurk will be complied wilh whether specilied herein or noL The granling of a permil does nol presume <br />to give aulhority to violato or cancel lhe provision of any olher stalo or local law regutating conslruction or lhe pedormance of <br />conslruction. That I am authorized by tho owper of lhis property to perform ih� work tor which applicalion is made and t comply with the <br />Slate Contraytar��27 RC�V an '29 00 WAC. <br />s La <br />/ /�\ % /, i���� � � S�:�OS <br />