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SITE ADDRESS <br />LOT NO. <br />ENANTNAME <br />u��hn� <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 <br />t� v6n,� Tr N6 p-u� �Jy <br />rRac•r <br />TAX I.D. # <br />9�✓Otl•Dl�"d0 <br />4 <br />a <br />. I� CONTACT FOR PERMIT <br />lgt�J� 3A��Q iJa�N�s 11`ll�n�5 <br />liV1YIRNVIVR '- ----- <br />w���na�y =5.�� 3��w� <br />CONTR. LICENSE # � —� ,.. ` <br />�. <br />USE OF BUILDING <br />WORK DESCRIPTION <br />J 1 <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhee washer <br />Water healer <br />Sink (servicelbar/mopletc.) <br />Backflow prevenler <br />Urinal <br />rinking Founlain <br />oor drain <br />G ase trap <br />Ro drains <br />� G. V c� c,o <br />HEATSOURCE <br />PERMIT # <br />(.�dt. "l4'i'ZZ— <br />PHONE, <br />E.�,�1�0 - � 1-S bl� � <br />° ��,-s��.� <br />Gr1l= L{w,��� r W �A • �( �� ��7 <br />_ Electric � Gas _ Olher <br />CONTRACT PRICE OF WORK <br />243.�0� <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unile <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaust fan <br />Heal pump <br />Unit heater <br />Boi�er <br />Refrigeralion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES SAX CODE IS 3105 <br />i hereby certify Ihal I have read agd� xa 'ned this application and kiic:�+he same to be true and correcl. All provisions of laws and <br />ordinances governing Ihis lype o�work will be complied wilh whether specified herein or nol. The granting of a permil does nol presume <br />to give autho ilytbw ste �ncel the Arovision of any other state or Iocai law regulating consWction or the periormance of <br />const[uctlon. Thal I�� a� rized,j�y ln� owner of lhis property lo perform lhe �vork for which applicalion is made and I comply with the <br />RI�_(:n�itrar.lofs �_ _.� 1$. C,�� BJId zss.zoo wAc. , , <br />� � <br />