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P��RMIT APPLICATI� .V <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 6 AM TO 4 PM <br />LEGA� LOT NO. I BLOCK <br />DESC. <br />ONMER <br />� � � ��/iS ,� I'De <br />PARCEL TAX I.D. N <br />TRACT OR SUBDIVISION / <br />✓ <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />E-MAIL <br />Z . �V � �- <br />CONTR. LICENSE M �4_� �-'L— <br />USE OF BUILDING <br />j�G <br />WORK DESCRIPTION N�-1310 ' Go•f — n <br />HEAT 90URCE <br />Electric � Ges _ Other <br />��� r�wM <br />�/Jt aOL� ' /��I MO I/-� <br />v �- <br />N0. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Ba�hlub <br />Levatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Waler heater <br />Sink (servicelbar/mop/etc.) <br />Backtlow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease irap <br />Roof drains <br />Olher <br />3- a-q - <br />PERMIT N <br />� l�� — <br />ln�/3 <br />CONTRAC7 PRICE OF WORK <br />��v <br />l/ / t /LQl{�. �/��"` Gr/1�2_ <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — eir handling unila <br />Forced air eystems <br />Gas piping <br />Waler healer <br />Gas fireplace <br />Gea range <br />Clolhea dryer <br />Range hood <br />Ezheusifan <br />Heat pump <br />Unit heeter <br />Boller <br />Rsfrigeration <br />Woodslove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7106 <br />I hereby certify Ihat I have read and examined Ihis applicalion and know the same to be irue end coned. All provlsiona af lewa end <br />ordinances governing this type of work will be complied with whelher apecified hereln or nat. The granting ol a permit does nol preaume <br />to glve authonly to vidate or cancel the provision o( any other stale or local law regulating conalructlon or the peAortnence of <br />construclion. That I am aulhorized by Ihe owner of thie property lo peAorm the work for which eppllcation ie made and I comply with Ihe <br />Sla e Coniradors Law 18 27 RCW and 298 200 WAC. <br />C'Ip,-� {. C6�/0 <br />Sign u f Owner ontrar,lor/Aulhori�ed Agent Dete <br />�IZ <br />