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SITE <br />�---� <br />IAi N0. <br />.�v�:�. ':I��l�2 <br />TC-NANTNAME <br />CONTR. LICENSE # <br />USE OF BUILDING <br />�ERMIT APPLIGATIt�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �%�����Q���. <br />425-257-8810 — FAX 425-257-8857 — v�nvw.everettwa.�rg <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 afl1 �� _� f_ t�� <br />PARCEL TAX I.D. # <br />i� ��vf�- 2n v�f-i >- o o �-a 3^l <br />BLOCK � RACT OR SUBDIVISION # <br />AD�RESS ITY/ZI <br />� 2 gr; • c�.pa� i- lN� y Sv� ��,.r�� �., <br />�� � ,� , --y�; <br />.% 7- i £s�-T1--l:x��Erc'S—�� <br />� CONTACT FOR PERMI <br />�I��' �� l'� E-c��r <br />�,'- � <br />ADDRESS CITYIZI <br />/i�✓�/� �/� J <br />i�1� � " <br />HEAT SOURCE <br />_ Electric _ Gas _ Other <br />, '��.. LS�- 2 1 <br />.� <br />� L� � <br />PHONE 2oG� ��h I � ���[� <br />� ���`1l�I�Qo. Gti� <br />CONT$ACT PRICE OF WORK <br />"�0,� <br />WORKDESCRIPTION ��Ir�^--C �(",}.���� T,� � N��J Si?��� 7c � <br />��1 ��":f�� l G� K�CLti��i (ZL ��-C,;�/s� �.(+� �/1 r �v c� f� <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilet <br />BaOiWb <br />Lavatory (wash basin) <br />Shovrer <br />Kitchen sink & disposal <br />Dishvrasher <br />Clothes�vasher <br />Water heater <br />Sink (service/badmop/etc.) <br />Back(low preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Othsr <br />I hereby ceritify that I t <br />ordinaces goveming it <br />lo give aulhorily to Jipl <br />construc�ion. Thal I�an <br />Slale Contractors L:aw <br />� I <br />NO. <br />� <br />TYPE OF FIXTURE OR ITEM <br />A/C – air h�ndling units <br />Forced air syslems <br />Gas piping <br />�Valer healer <br />Gas (ireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit healer <br />Boiler <br />Refrigeralion <br />Woodstove <br />Other <br />OF EVERETT LOCAL SALES TAX CODE IS 910: <br />read and examined this application and kno�v the same to be true and correct. All provisions of laws and <br />pe of work will be complied wilh whether specified herein or not. The granting of a permit does not presume <br />ir cancel the provision of any olher slate or local la�v regulating construction or the periormance of <br />liorized by the ormer o( this propert� lo perforpi the work for which application is made and I comply with the <br />!7 RCbN and 296.200 WAC. � <br />