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SITE ADDRESS <br />L�AL O LOT NO. <br />DESC. <br />OWNER <br />�o s� <br />TFNANTNAME <br />PEKMIT APPLICATIOtv <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 TU 4 PM <br />k1Q <br />BLOCK <br />PARCEL TAX I.D. # <br />nr- � y z�..I i� <br />CONTACT FOR PERMIT <br />� 7a3 -G <br />RMIT# _�/ <br />a� 0 3 ' <br />N}Uoo� W,g <br />PHONE <br />Z � �G. P�"zzcL � � P.�11 r� �'� ,rr-� o` `L o (v � 9 � $7� / <br />CONTRACTOR R� T-ec-hnol-v�c� ADDRESS ��'aJ �'UYr�rPcr7 CITY2IP PHONE <br />�^� �t. Ll Zy roV A' <br />CG: � � R. UCCNSE # <br />USE OF BUILDING <br />WORK DESCRIPTION <br />NO. I TYPE OF FIXTURE QR ITEM <br />Toilef <br />Balhtub <br />Lava�ory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (servicelbar/mop/etc.) <br />Backilow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Other <br />HEAT SOURCE <br />Electric _ Gas _ Other <br />►n,,�kc eo `,��y <br />CONTRAC7 PRICE OF WORK <br />Q�� <br />NO. I TYPE OF FIXTURE OR ITE�d <br />A/C — air nandling unils <br />Forced air systems <br />Gas piping <br />'.Naler heater <br />Gas fireplace <br />Gas iange <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />C!TY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriti(y thal I have read and examined lhis application and knnw the same to be lrue and correcl. All provisions of laws and <br />ordinaces goveming this rype of work will be complied wilh whelher specified herein or not. The e�ranting of a permil does not presume <br />to give aulhority to violale or cancel lhe provision of any olher stale or local law reSulating conslruclion or lhe performance o( <br />conslruction. Thal I am aulhorized by the owner of lhis property to perform the work Tor which applic2lion Is made and I comply .vilh lhe <br />State Conlraclors Law 18.27 RCW and 296200 WAC. <br />