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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 � �y,g,.p >r <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE AOORESS I�� PARCEL TAX I.D. # PERMIT # n� <br />�$2,2 t�Ued�(/� 005947e'bc:'�'�a 1� �� - <br />LEGA LOTNO. BLO K TRACi <br />TENANiNAMQ � <br />` lYli7't'Q <br />CONTRACTOR c -A��� <br />J <br />CONTR. LICENSE # <br />USE OF BUILDING <br />WORK DESCRIPTION <br />ICONTACTFC <br />ADDRESS <br />�•qw� e <br />c�u�l`f w,�. <br />CITY2IP <br />SAu^Y <br />1� n ��I n�. �`�^,� �� <br />HEATSOURCE <br />_ Electric _ Gas _ Olher <br />,., � -. ' !� / .; '�. � <br />t, /' <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 dispusal <br />�ishwasher <br />C�olhes washer <br />Laundry lray <br />Sink (service/bar/mop/etc.) <br />BackOow prevenler <br />Urinal <br />Drinking Fountain <br />floor drain <br />Greasc trap <br />Roof drains <br />Olher <br />NO. <br />� <br />PHONE <br />PHONE <br />CONTRACT PRICE OF WORK <br />� fj'�O,sa <br />NPE OF FIXTURE OR �TEM <br />A/C — air handling units <br />Forced air .<.ystems <br />Gas piping <br />Waler hoater <br />Gas fireplaco <br />Gas ranc�e <br />Clothos dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unil heater <br />Boiler <br />Refrigaration <br />Woodslovo <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br />I hereby cc•ritify lhat I have read and examined ihis application and know the samo lo be tnie and correct. All provislons of laws and <br />ordinaces �overning lhis lypo of work will be complied wilh wholher specified horein or ntl. � ho �ranting ot a permil does not prosume <br />to givo aulhority to vi la or cancel lh ovision oi any other stale or local law regulaliny conslrucUon or lhe peRormanco ot <br />construclio�Tha a"in aulhorize y lhe owner of lhis property to perform lhe work for •::t�ich applicaUon is made and I wmply with the <br />Slale Con c s Law 18.27 and 296.200 WAC. <br />