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P�RMIT APpLICATI <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 <br />SITE ADDRESS `' "" ` ` � <br />,(7 7 .S r` GSUt.�CT: /�l�lL v/� j' <br />LOTNO. I BLOCK I TRACT <br />DESC. <br />PARCEL TAX I.D. # <br />PERMIT # <br />e� p��n s�,� i i�� S^c�J .S rr G����f-r�Ff r c ,-u,�Y �ve,u�� <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />C��"FrN �4 � [t � C : . <br />CONTRACTOR r2J(�//�r�°? lG<« �«� ADDRESS CITY2IP PHONE I <br />CONTR. LICENSE # <br />,Pt7D�, <br />USE OF BUILDING <br />WORK DESCRIPTION <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilel <br />Balhlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Waler healer <br />Sink (service/bar/mop/etc.) <br />Back(low preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />2 <br />HEATSOURCE <br />Electric _ Gas _ Other <br />CONTRACT PRICE OF WORK <br />NO. � TYPE OF FIXTURE �: ii EM <br />A/C — air handliny unils <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodslove <br />Other <br />_F,z r�t �iq-S <br />�✓A-t L�— <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify lhat I have read and examined lhis applicalion and know lhe same lo be lrue and correcl. All provisions o( laws and <br />ordinaces governing lhis lype of work will be complied wilh whether specified herein or not. The granling o� a permit does nol presume <br />to give aulhority lo violate or cancel the provision of any other slale or local law regulaling consWclion or the performance of <br />conslruc,tion. Thal I am authorized by the owner of this property lo perform lhe work (or wliich application is made and I comply wilh lhe <br />Statg.�bntra¢.4ors,f7aw 18:27 RCW and 296.200 WAC. <br />