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PERMIT APPLI �ATIC�N <br />CITY OF EVERETT PERMIT SERVI�CES <br />3200 �EDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettHra.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS y— <br />�i� ['<� ! /1 � / <br />LEGAL LOTNO. BLOCK TRACT <br />DESC. <br />PARCEL TAX I.D. p <br />�i <br />�'. �c /, //i ., �'�- ; L' �r � r/ i i <br />TENANT NAME CONTACT FOR PER��:T <br />/—'!% �C�i; /S� <br />CONTRqC.TOR j <br />� �/ ��tr'l-{%-' <br />CONTR. L�CENSE M <br />_ . . „ �, <br />PERMIT # <br />_...._.. .- y27-��`I-1L•� <br />L�i ft. %/ `%ri7�'3 <br />PHONE <br />ADDRESS <br />;<</� �5:,��z.,c 3��n�E���.. <br />USE OF BUILDING <br />/��s <br />WORK DESCRIPTION <br />sovz /�z <br />HEAT SOURCE <br />� El�ctric _ Gas _ Olhor <br />/c'�r�� �/c•�f,`,-,`, s/s7��,it <br />/ <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 dispasal <br />Dishwasher <br />Clolhes washcr <br />W aton c�ater <br />Sink (servicelbarlmop/elc.) <br />Backllow prevenler <br />Urinal <br />Drinkinc� Founlain <br />Floor u'ain <br />Grease tr::p <br />Fcoof d�ain� <br />Olher _ <br />/�� 5 - 73 �J—/7t. <br />PHONE �. <br />t�2 � -7� %'L ��l <br />y��'�' / <br />CONTRACT PRICE OF WORK <br />�s jj >> � <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C - air handling units <br />� Forcod air systems <br />Gas piping <br />Water hoater <br />_ Gas tireplaco <br />Gasrange <br />Clothes dryor <br />� Rango hood <br />� Exhausllan <br />Heat p�mp <br />Unit heator <br />Boiler <br />Refrigera6un <br />Woodstova <br />Other <br />CITY OF EV�AETT IQCAL SALES TAX CODE IS 3105 <br />I hereby ceritily th: : I have read and ezamined this upplication and know lhe same to be true and correcL All provisions ol laws end <br />ordinaces governing thi ; �ypo ul �.vork will be complio:l wilh wLether speci(ied horein or nol. The pranling of a permit does not presume <br />to givo aulhoriry lo violaie or cancel lhe provision o( an� olhzr state or local law regulaling constru�lior. or Ihe pedormance ol <br />conslruction. That I am authorizotl 7y Ihe owner o1 lhis property to perform the work for which applicalion is made and I comply wilh the <br />Slam Contrar.tors �aw 18.27 `RC/W a�.d 296.2Q0 WAC. <br />i- %� L%,�i'! �? _ �^Z/�--L <br />