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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 />SR yyoz F�� c� A��. <br />i EGA LOT NO. BLOCK <br />TENANTNAME <br />�� <br />IPARCEL TAX I.D. � <br />290 53 ! �020o Roo <br />TRACT OR SUBDIVISION • <br />c.Lo,�/ yyoz <br />/JC� <br />cormi.ucensex �NdA�S��•3�9 <br />USE OF BUILDING <br />O/ � <br />ICOHTACT <br />I�'� <br />'.fi 1_ , <br />PERMR <br />� <br />(uU/icEl <br />/�z2g ,c4,4l� S� <br />HEATSOURCE <br />Electric v�'Gas_Olher <br />PERMIT If <br />,�vE��i, u�,s . 9�zo3 <br />PHONE l�LI —�,p$'—ZJ�S <br />L) � a./ / <br />7o ig <br />/Q/�IAA/ L � $t/A/d AdIC'E <br />y�-�lBt-gG�oo <br />�. y�o�! <br />CfSNTRACT PRICE OF WORK <br />�YLS, �'� <br />WORK DESCRIPTION <br />/NS7�'1.G/N(e NE/•✓ Ge�'S F%�L.Rr� //✓.S,F/1-T' A�D 7'ANK��SS �F�' � <br />NO. I TYPE OF flXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/badmopletc.) <br />Backtlow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. I TYPE OP FIXTUHE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify lhat I have read and examined ihis application and krww Ihe same to be true and correct. All pravisions ot laws and <br />ordinaces governing this t�pe of work will be complied with whelher specified herein or not. The granting of a permit does not presume <br />lo give author' to violate or cance� the provision of any other stale or local law regulaling construction or the periormance of <br />construction at am aulhorized by lhe owner of this property to perform the work tor which applicaGon is made and I comply with the <br />State Con c r aw 18.27 RCW and 296200 WAC. <br />►� �n � 8'�'�g <br />