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F�RMIT APPLICATI�JN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />/�� / APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� —�g� (>% <br />3ITE ADDRESS PARCEL TAX 1.0. R PERMR N <br />n � / <br />� 1:;%ts �G.�..� it'e� �1' � h�-C)'�- —� � I <br />LOTNO. I BLOCK <br />�.�,:i�'� % L <br />TENAN NAME <br />CONTRACTOR %�- f .> C �t <br />!:, �-�'. <br />�✓/^Xi,t` '?��,f"lf <br />CONTACT FOR PERMR <br />PHONE <br />� �'p-'� -� <br />�/.�� �K . <br />h>l7��h}�✓ AOORE83 CITY.2IP . PHONE (� S <br />� /'� � , L 7 <br />��; i , .s., /%y /�?G;t >✓; I<<. <br />CONTR. LICEN9E t � �? � ;/ � �'• i ' '� �C � <br />,��/:`_����. ) p- )5a-LC,-j-w.ar J r� -v c:/%� '-%;it �t% i�YC/' 7��(.� <br />USE Of BUILDING <br />HEATSOURCE <br />Eleclric _ Gas _ Olher <br />WORK DESCRIPTION <br />^,/�,1�.� I � . lJ`� <br />N0. I TYPE OF FIICTURE OR ITEM <br />Toliot <br />Bathlub <br />Lavatory (wash basln) <br />Shower <br />Kilchen sink 3 disposal <br />Dishwashor <br />Clothes washer <br />Wator haater <br />Sink (sorviwlbarlmop/etc.) <br />Backflow prevenler <br />Urinal <br />Ddnking Fountaln <br />Floor draln <br />Grease Irap <br />Roof dreins <br />Olhor ---_ _ . . . -- - <br />CONTRACT PRICE OF WORK <br />i• -��� <br />.['C� u• . _u t_ �.: u .. <br />ar — air handling uNls <br />Forced eir ayslems <br />Gas piping <br />Watar heator <br />Gas Mcqilaco <br />Gas range <br />Gothaa dryer <br />Rarga hood <br />F�diaust fan <br />Heal pump <br />Unit hoater <br />Botler <br />RefrigeraUon <br />wooaea� <br />CfiY OF EVERETT LOCAL SALES TAX CODE IS �705 <br />I heraby cerilify Ihal I havo read and examined this appticatlon end kraw thn same fo be We end cortect. All provlslons ol lawa end <br />ordinacos goveming lhis type of work wi0 be complied with whother specHied hnreln or rat Tho granNrg of e permil does rwt presume <br />ro piva aulhority lo violato or cancel ihe pmvislon of any other slelo or bcal law regulatlnp constructlon or the pertormance o( <br />mnslructlon. That I am authorfzed by tho ownor of thfs property to perform tl�e work for which applicatlon Is mede and I compty wflh Me <br />Stalo Conlraotora Law,78.27 RCW and 298.200 WAC. <br />�" � ' � 1 �.:�� � 11 /�� / <br />/ ! �_-` __ C. <br />