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SITE ADDRESS <br />%2�� ,� <br />LEGAL LOT� <br />PEkMIT APPLICATIOIv <br />CITY OF EVERETT' PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� „/�— O 5 <br />PARCELTAX <br />� L'�'`E% 2i n � -� <br />BLOCK TRACI <br />2i3�oo <br />I�� 'ST2�t�.' t'P2�T1�.5 I..LG f21a�j �/it11�CKt5 M��� l'lZ0 �• ��`l�8 �� <br />�_�--T.,T�z P�. �* �� ��z,S <br />TENANTNAME CONTACTFORPERMIT PHONE <br />• • . _ �.s,-�s �'1-4,0.�-��R <'bZS��`�8-��C'S`1 <br />CONTRACTOR <br />CONTR. LICENSE # � �� <br />USE OF BUILDING <br />ADDRESS <br />.. _ . • . � ' � .. <br />12.��.� O�r �'I A..L. <br />WORK DFSCRIPTION <br />�.F <br />�ti,r..,r.��.; � i c�r _i <br /><� F• 2A � � �. <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Balhlub <br />Lavatory (�vash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clolhes w, sher <br />Laundry tray <br />Sink (service/bar/mopletc.) <br />Backflow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Greaso lrap <br />Roo( drains <br />Other <br />'L • � <br />HEATSOURCE <br />Eleclric Gas Olher <br />NO. <br />CITYrIP PHONE � <br />CONTRACT PRICE OF WORK <br />TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Foi�ed air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refric�erelion <br />Woads:�ve <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined lhis applicalion and know lhe same to be true and correct. All provisions of laws and <br />ordinaces goveming lhis typo o( work will be complied �vith whe!iier specified herein or nol The granling of a permil does ni t presume <br />to c�ive aulhority to violate or cancel lhe provision oi any olher slale or local law regulaling construction ur the pedormance of <br />construclion. T�iat I am aulhprized by the ownAr of Ihis property lo pertorm lhe work for which applicalion is made and I comp!y wilh lhe <br />State Conl�acfdrs 4aw i$.27� RCW and 29G.205 WAC. , <br />�/L <br />