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SITE AUDRESS <br />LOT NO. <br />TENANTNAME <br />�`cRMIT APPLICATI�N <br />CITY OF EV�R�TT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPI_ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />TRACT <br />CONTACT POR PERMIT <br />�y���r� <br />; �RMIT # <br />�r�'. z53. 7�°S . ZZ ( 1 <br />i'ELL �cs.z��_zai <br />CONTRACTOR ADDRESS CITY/ZIP PHONE 2,'S3 , <br />�'i'Z.z' �iqYLoi.JS-rjc.�J��DI� 13pZ yt�,�AiA�S'j'• �� "735,Zz1 <br />/ <br />CONTR.LICENSE# I 5i.'lTE�3�' �j�,Gi�� � <br />1-�i-r�. /.n G <6 � I Q � _ _ <br />USE OF BUILDING <br />WORK DESCRIPTION <br />HEAT SOURCE <br />Eleclric Gas Olher <br />�t-ECL�/�n�6 1�Js'�����T�r`� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Bathlub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sir.k & dispcsal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backtlow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Olher <br />CONTRACT PRICE OF WORK <br />NO. I 1YPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhausl fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refric�eration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby ceritify thal I have read and ezamined Ihis applicalion and know lhe same lo be lrue and correct. All provisions of laws and <br />ordinaces governing this lype of �vork will be complied with whether specified herein or noL The granting of a permit does not presume <br />to give authority lo violate or cancel lhe provision of any olher state or local Iaw regulating construction or the per(ormance of <br />consVuclion. Thal I am authorized by lhe owner of lhis property to perform lhe work for which application is made and I comply with lhe <br />