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SITE ADDRESS <br />Y�:�7 E�e, <br />DESC. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREFT, 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 />� E �c�t���u��� ���7 %- <br />fENANY NAME �) ��L/ <br />�L!' L��,-l�/L�-t'C U/.NG�«Y <br />.,�� <br />U���-dvrr 3�i - <br />CONTR. LiCENSE # n L EA� �� �� n� <br />L Q <br />USE OF BUILDING <br />PARCEL TAX I.D. # <br />a'Hse� voy oas' a� <br />OR SUBDIVI$ION # <br />10 `�d <br />PERMIT # <br />/��3 - 7 <br />�i�frzt 9�.�r,� _ _ y�-s �s3 --����v <br />FOR PERMIT <br />v�u rF��! r7� <br />l�r�e �! �S� <br />HEAT SOURCE <br />Electric Gas Other <br />WORK DESCRIPTION • <br />/���-r �l -u/G• ;�� �r.��/���2,� �c�x - <br />U <br />NO. I TYPE OF FIXTURE OR ITEM <br />7oilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposai <br />Dishwashcr <br />Clothes washer <br />Waler heater <br />Sink (service/badmap/elc.) <br />Back(low prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease tra <br />Roo� drain <br />Olher � 0- <br />- �/Zz f` <br />;,,, �,..-�r�� clta'n' <br />`�/,3y �o� �9y -5�iaa <br />CONTRACT PRICE OF WORK <br />N0. � TYPE OF FIXTURE OR ITEM <br />A/C — ai� handling units <br />Forced air systems <br />Gas pipinr� <br />Water he3ter <br />Gas fire,�lace <br />Gas ra,iye <br />Clothes dryer <br />Range hood <br />Exhausl (an <br />Heal pump <br />Unit heater <br />Boiler <br />_ Refriyeralion <br />=Woadslove � <br />Olher � <br />CITY OF EVERETT LOCAL SALC-S TAX CODE IS 7105 <br />I hereby cerilify that I have read and examined this applicalion and know the same to be true and correct. All provisions of laws and <br />ordinaces goveminc� this type o( work will be complied with whelher specified herein or not. The c�ranling of a permit does nol presume <br />to give authority lo violale or cancel lhe provision o( any other stale or local law ragulaling construction or the periormance of <br />conslruction. That I am authorized by the owner of lhis property to per(orm the work for �vhicli applicalion is made and I comply with the <br />SlatelContractors Law 18.27 RCW flnd 296.200 WAC. <br />