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SITE ADDRESS � <br />LUT NO. <br />TENANT NAME <br />PERMIT APPLICATION� <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 TO 4 PM � c. �.p �� <br />PARCEL TAX I.D. # PERMITiF <br />� 7 _ <br />LOCK TRACT OR SUBDIVISION # <br />ADDRESS CITYIZIP PHONE <br />J �F,c��> ��� . <br />I 1 F�N�ACT�F0�2�MI�� � PHONEo�`"'3���� a� <br />CONTR. LICENSE # ���I�j-(� � l��''' � � � - `� � �V1� <br />USE OF BUILDING <br />HEATSOURCE <br />_ Elec�ric _ Gas _, Other <br />� <br />CONTRACT PRICE OF PJORK <br />�I � W • (.J�J <br />WORK D S� CRIPTION�� 'N�InJ S�v 6iw`�V�. ��^�lS �� � ��I� V� <br />�—i�4���. <br />NO. I TYPE OF PIXTURE OR ITEM <br />Toilet <br />BathWb <br />Lavatory (wash basin) <br />Shawer <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/badmop/elc.) <br />�ackflow prevenler <br />Urinui <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher _ <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodslove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certi�y that I have read and examined �his applicalion and know lhe same lo be true and correct. All provisions of laws and <br />ordinances governing tliis lype of work will be complied with whelher specified herein or not. The gran�ing of a permit does no; presume <br />lo give authoriiy lo violate or cancei lhe provision o( any other slate or local law regulating construction or the performance of <br />consiruction. That I am aulhorized 6y the owner of lhis propeAy �o perform the work for which application is made and I comply wi�h the <br />Statg�� �r� tor,s L�w 18.27�CW a 296.200 WAC. �� _//\ <br />� �' I i�'r� �� <br />'/� <br />