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SITE ADDRESS <br />iZ3 �� <br />Li�GA LOT NO. <br />DESC.r <br />m <br />PF,RMIT 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 (�J ��_ U D <br />� <br />Yl1 r1H��t�o�� S��rn��. <br />TENANT NAME <br />PARCEL T.4X I.D. # <br />TRACT <br />ICONTACT FOR PERMIT <br />-- .�. ��. <br />PHOI:E <br />CONTRACTOR \���``1�� (�ury�/1�jy,{� ADDRESS .(�C��I,�E CITY2IP PHONE �Z> `YLZG <br />CONTR.LICENSE# Y l,jltiyr�� I 1 Iu� •I,Z� Il7��H I���G � ci'r�%�tILVln�jl} `x0��/l7 <br />�—/�—L>% <br />USE OF BUILDING <br />3 Uu; r rh?v�,�= � w„ C-n.� Cxr: <br />WORK DESCRIPTION <br />HEAT SOURCE <br />� Eleclric _ Gas <br />CONTRACT PRICE OF WORK <br />Olher � ZU Lx;�> � <br />�L�.,�,��� �l.�S� �� \Ic,,� /f�:����,-� c,<.�,�-c�. <br />NO. I TYPE OF FIXTURE OR ITEM <br />� Toilet <br />� Bathtub%S d�w �- <br />� Lavatory (wash basin) <br />Shower <br />"�i Kilchen sink & disposal <br />'3 Dishwasher <br />� Clothes washer <br />� Water healer <br />Sink (service/bar/mop/elc.) <br />Backftow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas pipinc� <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS �705 <br />I hereby cerili(y that I have read and examined this app�icalion and kno�v Ihe same lo be lrue and correcl. All provisions of laws and <br />ordinaces c�ovarning this rype of work will bo complied with whether speci(ied herein or not. The granting of a permil does nol presume <br />to give aulhorily lo violale or cancel Ihe provision of any olher slale or local law regulaling conslruction or the per(ormance of <br />conslruclion. Thal I am aulhorized by the owner of lhis property to pertorm the work for which application is made and I wmply wilh lhe <br />Stale Contraclors Law 18.27 RCW and 29�C200 WAC. <br />i , i <br />j�, � <br />��i <br />