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f <br />MF�� PERMIT APPL�CATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 -www.everetlwa•a�9 <br />APPIJCAl10N5 ARE ACCEPTE.D FROM 8 AM TO 4 PM <br />SITE <br />LOT NO. <br />TENANTNAME <br />CON7RACTOR � �� <br />CONTR. LICENSE u <br />USE OF BUILOING <br />PARCEL TA% I.D. �1 <br />BIOCK I TRACT <br />COHTACTfORPERMIT <br />� ���� <br />AUDRE55 <br />HEAT SOURCE <br />Electi�c _ Gas _. �er <br />U� <br />� ` PHONE <br />CITYZP PHONE <br />I CONTRACTPRICE OF WORK <br />�_,�i�wri i i� —�-- <br />WORK DESCRIPTION <br />7ena,t Lrv�p�o�er���tf �ln�r;ar 1�lf�i'cr;��'o,,� . 'l��L <br />NO. I IYPE OF FIXNRE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />— Clothes washer <br />Laundry tray <br />Sink (servicelbarlmopletc.) <br />BacMlow preventer <br />Urinal <br />DrinWng Fountain <br />Floor dram <br />Grease trap <br />Roof drains <br />Other -- <br />NO. <br />TYPE OF FI%TURE OR ITEM <br />AIC — air handing unAs <br />Faced aIr systems <br />Gas piping <br />Water heafer <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Ran9e hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Rehi9eratlon <br />WooCstove <br />Other /J4'C�— <br />!�� GY �i f� �Ay�__ <br />F � �.✓ rr',.. .s <br />i <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 5105 <br />ed with vrhether specified herein or not The grantin9 0� a permit does not presume <br />I hereby ceritity tlwt I have read and examined ttiis applicalion and know the same to be true and cortect. Ail provisions of lav+s an <br />ordinaces goveming ihis type ot wak wi�� be compF ��,ith ttie <br />to edam tlie work �o� `n'hich aPP��ahOO �s made and I comply <br />to give authority to violate or cance� the W°°is+� of any olher state or laa� law regulacng construc4on or the performance <br />consvuchon. That I am; �°RCwb�d 2� 20� WACS �operty p <br />State Cont ����2 <br />�/��%�Of,'t! Da�e '1 z <br />