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SITE ADDRESS <br />LOT h0. <br />TENANT NAME <br />PcRMIT APt'LIGATIC��1 <br />CITY QF EVERETT PERM17 SERVlCES <br />3200 CEDAR STREET, EVERE-f-I', WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�(�,5 � PARCELTAXI.D.# <br />TRACT OR SUBDIVISION # <br />ICONTACT FOR PERMIT <br />� � Nr I`�� �d�G <br />PERMlT # <br />_� <br />PHONE �S 3 a5 S� S�L� <br />E-M17AIL <br />^ONTRACTOR ADDRESS �^ �( GIIY/�ir rnpvrvI,c' C <br />�IiIW� �'n J ��%C�S� �j��3 iiL���tu.tv .�/ ��a�n'C% lf� � / d � t� <br />� <br />CONTit. LICENSE # �� wt £ <br />� � -� 9J'G oo .�s3 b'"Lc., N��Z.1 <br />USE OF 6UILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />� _ Ele�lric _ Gas _ Olher �sl�t� �� <br />WORK DESCRIPTION ��� I�'� ���-}-- � Lc� �% 1(�+.In li rt� Wti��Ti`«�� �l� <br />N0. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Waler heater <br />Sink (service/badmop!etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Olher <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling unils <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhau: fan <br />Heat p�mp <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodslove <br />CIT f OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby ceriti(y that I have read and examined this applicalion and know Ihe same to be true and correct. All provisions of la�vs and <br />ordinaces governing this lype of vmrk will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel lhe provision oi any other state or local law regulaling construction or the periormance o( <br />construction. That I am authorized by the owner of lhis property to perform ihe work for which application is made and I comply wilh the <br />Stat alraptor Law 18.27 RCW and fi20019Y1J�:. <br />/ �'r� / % <br />