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F �RMIT APPL3CATI�.N <br />CITY OF EVERETT PERMIT SERVECE3 <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 CREDIT CaRDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />�{93o D <br />LEGA LOT NO. <br />DESC. <br />OWNER <br />S+wt Ne���� <br />TENANTNAME <br />�,�. tr n,r✓. <br />CONTRACTOR �" q <br />�:tklti 1 > yL ��Nwll� / <br />CONTR. LICENSE N <br />Evwun y�A. <br />1— ocK <br />USE OF BUILDING <br />PARCEL TAX I.D. # <br />TRACT <br />ADDRESS CITY/ZIP <br />y93a Dof�a,d D�• E���� <br />ICONTACT FOR PERMIT <br />, ADDRESS CITY2IP <br />HEATSOURCE <br />Electric Gas Other <br />WORK DESCRIPTION <br />C-�.w�q� 0�4 old Gclv;.,cd p,f,r i rr�l•u u;iL Ce/P/•'• <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toi�et <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink R disposal <br />Dishwasher <br />Clolhes washer <br />Laundry tray <br />Sink (service/bar/mop/elc.) <br />Backflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Raof drains <br />Other <br />P MIT# <br />PHONE <br />F,L? (�4s'),?s8- `1b.�,� <br />PHONE <br />PHONE <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhausttan <br />Heat pump <br />Unit heater <br />8oiler <br />Refrigeralion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />I hereby cerilify thal I have read and examined lhis application and know the same to be lrue and correcL Ail provisions of laws and <br />ordinaces governing lhis type of work will be complied wilh whelher specified herein or nol. The granling ot a permit does not presume <br />to give aulhoriry to violale or cancei the provision of any other slate or locai law reguialing conslruclion or lhe per(ormance of <br />conslruction. That 1 am aulhorized by the owner of lhis property to perform lhe work for which application is made and I comply with the <br />Statef �ntractors Law 1827 RCW and 296.200 WAC. <br />/�r,_. ,�.�. A' 4(��(os" <br />