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F�RMIT APPLICATlUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — F/aX 425-257-8857 — www.everettwa.org n � <br />I' l� � J �� � . <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />�y � <br />LEGA LOT NO. <br />DESC. <br />OWNER <br />�.1 �L���i Y iUn/5 I <br />7�ENANTNAME <br />CONTRACTOR / ,�-IKty <br />(J l �'V <br />CONiR. LICENSE # <br />LI nl0 5i <br />USE OF BUILDING <br />BLOCK I TRACT <br />WORK DESCRIPTION <br />�'_ / _ <br />_ �� � �-�� r�fl''�I C'_. <br />PLUMBING <br />N0. I TYPE OF FI%TURE OR ITEM <br />� TOilet <br />Balhlub <br />Lavatory (waeh basin) <br />_ Shower <br />Kitchen sink 8 disposal <br />� Dishwasher <br />Clolhes washer <br />Laundry tray <br />Sink (ser �ice/badmop/elcJ <br />BackOov, prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />PARCEL TAX I.D. # <br />&/� �U7 I �- <br />� CONTACT FOR PERMIT <br />� <br />ADDRESS <br />Ftl P��� 3�7tia <br />Spcl�'�.�. UJ� , <br />HEAT SQURCE <br />/ <br />_ Electric V Gas _ Olher <br />PERMIT # <br />��ls `' � c <br />�Y i>la� �i� <br />CITYIZIP PHONE <br />�. c�l9�aJ <br />PHONE <br />`l�S-�Sy -� <br />CITY2IP PHONE <br />t��a3 �as-�s�'-.��-3v <br />CONTRACT PRICE OF WORK <br />( �J,O�L� <br />I y/ �� � =- <br />��l'�� � — ,�,� l �- <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handlinc� units <br />Forced air systems <br />Gas piping <br />Waler healer <br />Gas (ireplace <br />Gas range <br />Clolhes dryer <br />Ranc�e hood <br />Exhausl fan <br />Heat pump <br />Unit heater <br />u..ile� <br />Refrigeratio� <br />Woodstove <br />CITY OF EVERETT IOCAL SALES TAX CODE IS 7105 <br />I hereb�r cerilify lhat 1 have read and examined this applicalion and know the same to bo true and correct. All provisions of laws and <br />ordinaces govzming this type of work will be complied with whelher specified herein or nol. The yranting of a permit does nol presume <br />to give aulhority to violate or cancel the provision o( any other stale or local �aw rec�ulaling consirucUon or the performance of <br />construction. That I am aulhorized by ihe owner of lhis property to perform the work for which applicalion is made and I comply with the <br />State Contrac(b[s Law 18,27 RCW and 296.200 VJAC. <br />