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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-6857 — www.everettwa.org <br />i_7_OS <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CRE01T CARDS ARE NOT ACCEPTED <br />ADDRESS � , <br />LOT N0. <br />TENANT <br />CONTRACfOR I <br />i � <br />/ %/ <br />CONTR. LICENSE A <br />USE OF BUILDING <br />�WORK DESCRIPTiON <br /><- <br />-� <br />/ � � � � /.. � .�i= (- <br />1- <br />/ PARCEL TAX �.D. # <br />� , f <br />7 � ,' ;�� ; /C%/C i c <br />BLOCK TRACT <br />ADDRE53 cinr <br />_ i �� � �_ <br />�� s.��� � l��l/. ��� .i � �: <br />COHTA/QTF/O12PERMIT , � <br />I i i�/ / f;�� . ��% �__ �. i. <br />,�i „ <br />ADDRESS <br />I HEATSOURCE <br />/ � Electdc _ Gas _ Other <br />CITY2IP <br />� <br />%,� ��� y�� - � �� <br />�PH01dE�3- . �'� � � <br />; �> <br />: z�Tf ��.�1%1 <br />PHONE <br />''?✓`, j ,<'_'3 ,-%��/ <br />'; � ,� /=-�� �S�GO <br />PHONE <br />CONTRACT PRICE OF WORK <br />,�>.� S �� <br />L ��� / ` �" r' / �� <br />� %.� �( � :5 <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavalory (wash bacin) <br />Shower <br />Kilchen sink 8 disposal <br />Uishwasher <br />Clothes washer <br />Laundry fray <br />Sink (service/bar/mopletc.) <br />Backflow prevenler <br />Urinal <br />Drinkinp Foimtain <br />Floor drein <br />Grease lrap <br />Roof drains <br />Olher <br />N0. I TYPE OF FIXTURE OR ITEM <br />A!G - aif h80tllin(J UllilS <br />Forced air syslems <br />Gas piping <br />Water healer <br />Gas freplace <br />Gas range <br />Cbthes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit healer <br />Boiler <br />Refrigeretion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TA%CODE IS J105 <br />I hereby ceritify that I have read and examined this application and know the same to be Vue and conect. All provisions of laws and <br />ordinaces goveming ihis type of work will bo complied with whether specified herein or noL Tho granting of a permit does nol presume <br />!o give aulhority to violalo or cancel iho provision of any other stale or lora� law regwating conslruction or the pedormanco oF <br />construction. Thal I am authorized by the owner ot this property lo perform lhe work for which application is made and I comply with the <br />State Conlr�ctors Law �827 RCW and 296.200 WAC. <br />,��-/��l �. <br />iz <br />