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SITE ADDRESS <br />(v L 1;vPi r�r3 <br />LEGAL LOTNO. <br />DESC. <br />FtRMIT APPLICATIC�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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />TRACT <br />PARCEL TAX I.D. # <br />PERMIT # <br />DF,ViO ��lm��c�- sA-r�.� -E�Y y2s-3s�-yZz7 <br />TENANTNAME � CONTACTFORPERMIT PHONE <br />CONTRACTOR 5'''�M�Q1j �IJhhI. � <br />CONTR.LICENSE# �v��en �(i'�'�r-I a(� <br />1 � <br />USE OF BUILDING <br />WORK DESCRIPTION <br />�Pj�.�x P�.,MS,� Ptp� -rti <br />NO. I TYPE OF FIXTURE UR ITEM <br />Toilet <br />Balhtub <br />Lavalo.y (wash �asin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />`Naler healer <br />Sink (service/bar/mop/etc.) <br />Eackflo�v prevenler <br />Urinal <br />Drinkinc� Fountain <br />Floor dra:n <br />Grease trap <br />Roof drains <br />Other <br />ADDRESS <br />HEATSOURCE <br />_ Eleclric _ Gas _ Other <br />CITY2IP PHONE <br />CONTRACTPR��FWORK <br />Y <br />O <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas (ireplace <br />Gas range <br />Clolhes dryer <br />Range F,00d <br />Exhaustfan <br />Heatpump <br />Jnit heater <br />Boiler <br />Re(ngerelion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify that I have read and examined lhis applicalion and know the same lo be true and correcL All provisions of laws and <br />ordinaces governing this type o( work will 6e complied with whelher specified herein or nol. The granting of a permit does not presume <br />to give aulhority to violale or cancel lhe provision of any olher slale or local law regulating conslruclion or the performanc= of <br />consiruction. Thal I am autlioriz��d by lhe owner of Ihis property lo perform the viork for which app:icalion is made and I comply with the <br />Slale Cori(raclors,L�aw 13.27 RCW and 296.200 WAC. <br />