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SITE ADDRESS <br />LOT NO. <br />DESC. <br />F �RMIT APPLICATI�,N <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 />APPLICATIUNS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK I TFACT <br />PARCEL TAX I.D. # <br />5-16-06 <br />PERMIT # <br />�� <br />/.,2 � S�`- ��s2i �/�n- s C� c/.Z I�t v/c��G�G�. ,� ,�,20 3 yz�- 3 YS O4a7 <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />CONTRACTOR <br />E1�RG/1x� S � • /�YT ' fJ/c <br />CONTR. LICENSE # <br />�Cl/F77�f$ a Zl%-O / <br />USE OF BUILDING <br />/�%E)'vj�ll"Z <br />ADDRESS CITY2IP PHONE <br />a�,�� P����� �� c-v �s�� .2�� - 3/r y <br />WORK DESCRIPTION <br />G9S �iA�/i9cC ` Du � <br />NO. I TYPE OP FIXTURE OR ITEM <br />Tailel <br />Balhlub <br />Lavalory (wash basin) <br />Showor <br />Kitchon sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (sorvice/badmoplelc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greaso trap <br />Roof drains <br />Other <br />HEATSOURCE <br />Electric �Ga^ _ Olhor <br />N0. <br />CONTRACT PRICE OF WORK <br />'`��/,�r-'�D — - <br />TYPE OF FIXIURE OR ITEA7 <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boilor <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br />I heroby ceritify that I have read and ezamined this applicalion and know the sama lo be true and correct. All provisicns of laws and <br />ordinaces governing this lype of work will bo complied with whotlier specified herein or not. The grantin� of a permil does not presume <br />ro c�ivo authority lo violale or cancel lhe provision of any other stalo or local Iaw rec�ulating conslruclion or the periormanco ot <br />construcpo� That I am aulhorizod by lhe ownar of Ihis proporty lo perform lhe work for which applicalion is made and I comply with tha <br />Sta��onlr��tors La 18.27 RCW and 296200 WAC. <br />C �_!� 5i�� S ��- �� <br />