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PERMIT APPLICATIOIN <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 />SITE ADDRESS <br />BLOCK TRACT <br />DESC. <br />TENANTNAME <br />��sH �uGToN 5TA'f(s' %�lC�l �j <br />CONTRACTOR Un�TGD SySTE^+f,/NL. <br />CONTR. LICENSE #� n�,,,� S� t, ��� <br />USE OF BUILDING <br />WORK DESCRIPTION <br />Movc clvciwo�k <br />NO. � TYPE OF FIXTURE OR I7EM <br />I oilel <br />Bathtub <br />Lavalory (wash b�sin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />W ater heater <br />Sink (service/bar/mop/elc.) <br />Back(low prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />�ARCEL TAX I.D. # <br />CONTACT FOR PERMIT <br />6 _a--o r� <br />PERMIT# <br />M U�O�-Q <br />PHONE <br />ADDRESS �j'Ly N• l30L� �R CITYIZIP PHONE]y�-ycJ2- y <br />.SeiYRE 9St3S <br />HEATSOURCE <br />_ Eleclric _ Gas _ Other <br />CONTRACT PRICE OF WORK <br />$10�'Lif..UO <br />TYPE OF FIXTUR[ OR ITEM <br />A/C — air handliny units <br />Forced air syslems <br />Gas piping <br />Water heater <br />Ga; fireplacc <br />Gasrange <br />Clolhes dryer <br />Range hood <br />Exhaust (an <br />Heat pump <br />Unil heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify thal I have read and examined this application and know ihe same lo be lrue and correct. All provisions of Iaws and <br />ordinaces governinc� lhis type of work will be complied with whelher specified herein or not. The granting of a permit does not presume <br />lo give authority to violale or cancel lhe provision of any olher stale or local law regulating conslruclion or lhe pedormance o( <br />conslruclion. That I am authorized by the owner of lhis property to periorm the work for which applicalion is made and I comply wilh the <br />State ConVactors Law�8.27 RCW and 296.200 WAC. <br />'fLLa! <br />2 ��uC 20o G <br />