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P��MIT APPLICATIOrI <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE A�DRESS <br />��� �Q�E <br />LEGA LOT N0� <br />DESC. <br />., � � ;r� �e.« <br />TENANTNAME <br />CONTRACTOR <br />CONTR. LICENSE M <br />USE OF BUILDING <br />a�� <br />WORK DESCRIPTION <br />NO. <br />�� <br />BLOCN <br />PARCEL TAX I.D. N <br />TRACT <br />a� ��- u <br />CONTACT FOR PERMIT <br />ADDRE9S <br />MEATSOURCE <br />_ Electrlc _ Ges _ Other <br />� I` vtLrt ��-n� � �-`I <br />TVPE OF FIXTURE OR ITEM <br />Tailet <br />Bathtub <br />�avetory (wash besin) <br />Shower <br />Kltchen sink 8 disposal <br />Dlahwasher <br />Clolhea washer <br />Leundry trey <br />Sink (aervice�berlmopletc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />PERMIT M <br />ao�as-o�q <br />( a.o�lla3� - ��bb <br />�GITY21P�r�� <br />� i� � y �Jc�,E'PT, Nl�A 18d.o <br />PHONE <br />CITY2IP PHONE <br />I CONTRACT PRICE OF WORK <br />� WA�x7 SNS(�F�7 lo��� <br />TYPE OF FIXTURE OR ITEM <br />A/C - alr hendling unita <br />Forced eir eyetema <br />Gae plping <br />Weler heater <br />Gas Iireplece <br />Gas range <br />Clothea dryer <br />Ranpe hood <br />Exheuatfan <br />Heatpump <br />Unit h�ater <br />Boller <br />Refriperadon <br />Woodatove <br />Other <br />CITY OF EVERETT LOCAL SALES 7A7( COOE 19 7105 <br />I hereby ceritiry that I heve rea�d ?� � WIII be ompliedPwi huwhether speclfled herein obnot�The grenUnO o� IIP �it'doea nol preaume <br />ordlnaces goveming lhis typ <br />ro give authonry ro vial9te or cancel the provision of any other state or local law reguladng consWcUon or the performence of <br />constructiafi:'4�hat I am authorized by the owner of thia property to perform lhe work for which applicatlon ia mede and I comply wlth the <br />Slate ont�ar.tbrs Law 18.27 RCW d 2�98.200 WAC. <br />� 1 ,.-.. C � ����--- g ' 10 - 'D'� <br />. ia eture wnerl ontrac n t ze gent ate yJ� <br />