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P`RMIT APPLICATIC,�� <br />CITY OF EVERETT PERMIT SERUICES <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 - DEBIT 8 CREDlT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS PARCEL TAX I.D. # PERMIT # <br />Ci/_ �h y u._� �.ri�,.i La.F., S�� �� � <br />LOT NO. <br />DESC. <br />?ENANT NAME <br />TRACT <br />CONTACT FOR PERMIT <br />PHONE <br />%,cSqv � �G S� c SS o � �euc, /7Lou.�l, �{1S- 77�' �i$ 3S <br />CONTRACTOR B`V�y Nco.v' �c ADDRESS 5 CITY2IP PHONE <br />� '7y�o //g,�iso�. rr�/ £uc.If Lv4 Y?s-77�-ss'3S� <br />CONTR.LICENSE# Qy��.y�,co7�c 4, <br />USE OF BUILDING <br />Go,�ee c-�kti.i <br />WORF; DESCRIPTION <br />HEATSOURCE <br />_ Eleclric _ Gas _ Other <br />�.t.S�4Cc ��) /rlc+c�c,Cc- <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothe� asher <br />Launr' �y <br />Sink ( e/barlmop/etc.) <br />Back(lo •revenler <br />Urinal <br />Drinking Fountain <br />Floer drain <br />Grease lrap <br />Roof drains <br />Other <br />CONTRACT PRICE OF WORK <br />� S-o�a o0 <br />IlY <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air sysleins <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 />Woodstave <br />Other <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br />I hereby cerilify that I have re�:d and examined lhis application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this type of work will 6e complied with whelher specified herein or not. l'he grenting of a permit does not presume <br />to give authority to violate or car,cel the provision of any olher state or local law regulating construclion or the per(ormance of <br />construction. That I am authorized by the owner of lhis property to perform the work for which application is made and I comply wilh th�: <br />State Conira.tors Law 1$P1% RCW�+;d'�.'2Ql1 WAC. <br />\ <br />'la � <br />