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APPLICATIONS ARE <br />SITE ADDRESS <br />LOT NO. <br />1/T,e <br />PERMIT �►PPLICATION <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 />FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�� ioG�t ) pARCELTAXI.D.# <br />BLOCK I TRhCT <br />/ 7// S�' � <br />CONTACT FOR PERMIT <br />KtN � � <br />CONTRACTOR � ADDRESS <br />��.�zc32t�z� �� H�7" � f�L' 2izc� Pr�cc�c. <br />CONTR. LICENSE p + <br />/�U/- D /`.,5502ZbT <br />USE OF BUILDING <br />��! <br />PERMIT # <br />PHONE <br />ZSZ — 3/ � �f <br />CITY2IP PHOIJE ZSZ -3// � <br />�u�zE�r 9�Zvr ( 4/ <br />HEAT SOURCE ONTRACT PRICE OF WORK <br />_ ElecVic �Gas _ Other /�,52�, � <br />WORKDESCRIPTION 'S�� �Gt CEN(T ��i7�fL- <br />—�c�2,�iSrr � =N5�"�?Zt— / /) � <br />�kc�uoiN� �.:t-s P,�°��.g � ve�-r�� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Levatory (wash basin) <br />Shower <br />Kitchen sink 8 disposai <br />Dishwasher <br />Clothes washer <br />Leundry tray <br />Sink (servicelbar/mopletc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Olher <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrenge <br />Cloihas dryer <br />Rangehood <br />Exhaustfan <br />Heal pump <br />Unil haeler <br />Bolier <br />Rafrigerelion <br />Woodstcve <br />Olher <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br />I hereby ceritify that I have read and examined fhis applicalion end know lhe same lo be ltue and ccrred. All provisions of laws and <br />ordineces goveming ihis type of work will be compliad wdh whelher specifled herein or nol. The granting of a parmil does nol presume <br />to give aulhority to violate or cancel lhe provision of any olher state or locel law regulating constructiors or lhe performance of <br />construdion. Thal I am authorized by lhe owner of this property tn perform lha work for which applicetion is made and I comply wilh the <br />State Cor ray�ors Law 18. W end 296.200 WAC. <br />� e _ �,/,, iz/iy/ny <br />