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�ERMIT APPLICATI�N <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 />��ZJ APPLICATIONS ARE ACCEPTED FROM 8 AM TO, PM �� ,.�C) .-07 <br />SfiE ADDRESS {I PARCEI TAX I.D. / PERMIT r n <br />� y�/ )n �/)r�/ �� r".' �"OT �I L. <br />Ail / Ji%G�i�.iG'Gl <br />LEG LOTNO. BLOCK TRACT , . . <br />OESC. <br />(% /_ ,! � : /''✓ /'�?t ?i?fl� <br />CONTRACTOR �I�f/� �G��71/"z�c <br />(',�,�n. <br />CONTR. UCENSE t����, - � �) ��. ��� �i�' L <br />USE OF BUILDING <br />WORK DESCRIPTION <br />I CONTACT FOR PERMR <br />� <br />��2 %��� <br />�. <br />ADDRE83 . .�. CITY2IP . PHONE (�,S <br />17 /' li. /j=.�, ^ ,. ,��. <br />� c.% . � . �C�'• �� 1�.;� :, ��5 � <br />� r i✓/� �7;{: �(J ._.%yC'�.17%5Z� <br />. f�l� /C l.�% <br />NO. � TYPE OF FIXTURE OR IiEM <br />Tallat <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Oishwashor <br />Clothes washer <br />Weler heater <br />Sink (seMca/barlmop/otc.) <br />Backflow preventer <br />Urinal <br />Drinking Founlain <br />Floordrain <br />Greastr trap <br />Rool drains <br />Olhor <br />HEATSOURCE <br />ElecUic _Gas_Olher <br />NO. <br />CONTRACT PRICE OF WORK <br />��� <br />TYPE OF FlXNRE OR REM <br />!JC — air handBng uNts <br />Forced elr syslems <br />Gas plpinp <br />Wafer Iwator <br />Gas flreplace <br />Gas renge <br />Gothes dryor <br />Renga liood <br />F�heust fan <br />Heat pump <br />Unit hoater <br />Boller <br />RefrigeraUon <br />Woodslove <br />Other <br />CfTY OF EVERETT LOCAL SALES TAX CODE IS ]705 <br />I hnrnby coritify Ihal I havo road and examinod Ihis appliration and kraw tho same to be We and coned. All provislons ol lewa end <br />ordinaces goveming Ihis type of work will be complied with whether epecNied herein or not The granWg of a permfl doea not presume <br />lo give aulhority to violata or cancel Iho provisbn ol any olher slalo or bcal law regulatlng consWctlon or tho perlormance o( <br />consWctbn. That I am authorizad by tha owner ol this property to perlortn the work lor which applicatlon is made and 1 compty with the <br />Slalo CoMraalors Law,7B27 RCW pnd 298200 WAC. <br />' .'; ,� � � r ll �,��� � . �/I ��'7 <br />'Iz <br />