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��7J <br />SITE ADDRESS <br />/ n ��; <br />LEG LOT! <br />OESC, <br />/ <br />�ERMIT APPLICAT�UN <br />CITY OF EVEREIT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everottwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />���^ <br />BLOCK <br />PARCEL TAX I.D. A <br />�✓ �Y'1; . .-ya�`'' <br />CONTRACTOR !%�f/7 L(nyl�T-icrl:'��' <br />, T �yo. <br />CONTR. UCENSE � f��i�_ /�i� i 1� � I S�,�( C' <br />USE OF BUIL�ING <br />WORK DE3CRIPTION <br />�� i <br />CONTACi FOR PERMR <br />AODRESS <br />/�'.:�� ��CE•-�,� /%t:c-� /%,7`>2'P>^i'1/�. <br />.iar/� �. �uF– —.� C✓/� !�j 7�i <br />, <br />; � -� <br />��"k��IL� L�`l <br />NO. I TYPE OF FIXTURE OR REM <br />Toilul <br />Balhtub <br />Lavatory (wash basin) <br />Snowor <br />Kitchen slnk d disposal <br />Dishwasher <br />Clofhes washer <br />Water heater <br />Slnk (sorvica/bar/moplelc.) <br />Beckllaw preventar <br />Urinal <br />Drinking Fountafn <br />Floor drain <br />Grt+aso trap <br />Rool drains <br />Olhor <br />F1EAT SOURCE <br />Electric _ Gas _ Olher <br />ie�� g -o> <br />PERMIT / <br />PHONE <br />�1i� <br />Ji-'' —'��i�J <br />PHONE L�JS <br />..^ <br />-��7C�' �%�`SL� <br />CONTRACT PRICE OF WORK <br />.r� � <br />��, <br />N0. I TYPE OF flX7LRE OR ITEM <br />A/C – air handling unils <br />Forced air syslems <br />Gas piping <br />Water heator <br />Gas fireplace <br />Gas�ange <br />Galhes dryer <br />Rargo hood <br />6d�aust fan <br />Heat pump <br />Unil hoater <br />Boller <br />Rofriger&tbn <br />Woodsbve <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I heroby coriti(y that I have road and examined this appliralion end know tha same lo bo trve end corteU. All provisions o( laws end <br />ordlnaces govorning thls typo of work will 6e complied with whethcr specified horeln or nol The prantlnp of a pertnit does nol presume <br />io give authority to violalo or cancol Ihe provislon al any ollier slale or bcel law regulatlnp consWctlon or fhe peAortnence ol <br />mnslrucUon. That I am aulhortzad by lhe ownar ol thls property lo perfortn the work for which applicatbn is mede a�d I compty with the <br />Slato CoNraclors Law�i8.27 RCW.and 296.200 WAC. <br />/ • <br />_ ! � � ''7 <br />_l� � �� �. /1 �_/.%� (. , %�� / <br />