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SITE ADDRESS <br />LOT N0. <br />i ' <br />FERMIT APPLICATivN <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 ACCEPTEU FROM 8 AM TO 4 PM <br />��. �-�(- ���II ��..i I <br />BLOCK � TRACT <br />PARCEL TAX I.D. # <br />.../�C0.C�l�+S� �J2(G� ��C� Y•.?i`I � UON KA/"•+'wH DD NG'7Xi"'J.r� ClF-+ Z <br />TENANTNAME � CONTACTFORPERMIT PHONE <br />,� <br />CONTRACTOR �/y,,, b(,�� �xD/4Sg�., L <br />�� <br />CONTR. LICENSE #�� J m p`� �8 /, p_(� <br />r <br />USE OF BUILDING <br />WORK DESCRIPTION <br />NO. � TYPE OF FIXTURE OR ITEM <br />% <br />Toilel <br />Pathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Wate: heater <br />Sink (service/bar/mop/elc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />� <br />J�ti` <br />ADDRESS �y�3 �������S�I S��n C PHONE <br />O <br />HEAT SOURCE <br />_ Electric _ Gas _ Olher <br />t� <br />lA� <br />z <br />�S38zc� y�z 1 <br />CONTRACT PRICE q,F WORK <br />U(J <br />�S�o o � <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify that I have read and examined lhis application and know the same to be lrue and correct. All provisions of Iaws and <br />ordinaces governing lhis lype of work will be complied wilh whether specified herein or not. The granling of a permit does not presume <br />lo give authority lo violale or cancel the provision of any olher stale or local law regulatin� conslrucUon or the performance of <br />construction. Thal I am authorized by lhe owner of this property to perform lhe work for which application is made and I comply with the <br />Slate Contraqtors Law 18.27 QCWj�Sfid 296.200 WAC. <br />