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SITE ADDRESS <br />� 1! Z- t Ie M. <br />LEGAL LOT NO. <br />Sc�s h�.e. <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 B AM TO 4 PM <br />PARCEL TAX I.D. # <br />sr I <br />BLOCK TRACT OR SUBDIVISION # <br />Gz�z <br />PERMIT # � <br />Md-b�� <br />;) G- �er�,(� �iifLc�3 �/ � i 7S7Y <br />TENANTNAME I CONTACTFORPERMIT ' PHONE <br />E-MAIL <br />CONTRACT R ADDRE S �� <br />CONTR. LICENSE # ��C�I ? <br />USE OF BUILDING <br />HEAT SOURCE I CONTRACT PRIGE OF w�rcK <br />Eleclric Gas _ Other <br />WORKDESCRIPTION K�nn„y .nJ�-,:.,c.1 �os ,"e_ for �r Je�,t,.�l s h-G�7 ^.� :�o� <br />r ��1=�c�cc ��_Sc . �J <br />,�� <br />NU. I TYPE OF PIXTURE OR ITEM <br />Toilel <br />Bathtub <br />�avalory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (service/badmop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease lrap <br />Roo( drains <br />Olher <br />NO. � TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />� Forced air syslems <br />� Gas piping <br />� Waterheater <br />Gas fireplace <br />Gasrange <br />1 Cbthes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unil heater <br />Boiler <br />Refrigeretion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerili(y thal I have read and examined this application and know the same lo be true and correct. All provisions of iaws and <br />ordinaces governing this lype of work will be complied wilh whether specified herein or nol. The granling of a pertnit does not presume <br />lo give aulhority to violate or cancel the provision o( any olher state or local law regulating construction or the performance of <br />construclion. That I am authorized by lhe owner cf lhis property lo perform Ihe work for which application is made and I comply wilh lhe <br />Slate Contractors Law 18.27 RCW and 296.200 WAC. <br />�� <br />