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P�RMIT APPLICATIG�i�! <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 />�;�C�� OJt'- �1,� W✓1 <br />LEGAL LOT NO. BLOCK <br />/'„� , <br />TENANTNAME <br />TAc1��-cz.�r� <br />CONTRACTOR <br />. r�L � �;rsc�,��m1- <br />.n � 7,-. <br />EL �,�c�o,-�S �cz7 <br />PARCEL TAJ( I.D. # <br />rL�n'-7 1 �JOO�U <br />TRACT <br />l�Q.; �� <br />ADDRESS <br />•'Fo � �,..+ 153��'- SI <br />CONTACT FOR PERMIT <br />�-Of� a <br />CITY2IP <br />t.�A <br />�� 81l L <br />� �,L <br />r. <br />/ �� <br />- v 'I.n <br />t�3"O� <br />ZMIT �' <br />�//' � � <br />� � 835 1 �5e� <br />PHDNE <br />;� e 5 <br />/ _/ � / /J � �(Q � <br />CONTR.LICENSE# ��;:,.. `- _`�.�!/` I�.�l!'. 1.�..,_� 6'1t��iAdU���_ G' G'"_- <br />, .��.� � <br />USE OF BUILDING <br />jZt���rrzrs�' j Fg-„— �'-r�� <br />HEATSOURCE <br />_ Electric �_ Gas _ Other <br />CONTRACT PRICE OF WORK <br />��.�, _ <br />[ <br />WORK DESCRIPTION <br />Ti,�a�� �m(�a��-,,��- � o ��- w3��-r -,-D <br />r'�J`'jT � � �"'T.�'{�G" o�J�" "�c2J �L1 A , <br />N0. ! TYPE OF FIXTURE OR iTEM <br />Toilet <br />BathWb <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />W ater heater <br />Sink (service/bar/mop/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Waler healer <br />Gas fireplace <br />Gas range .�� <br />Clothes dryer � <br />Range hood =�� 'C� <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritiry�tha£Ilia�e�r ad and examined this applicalion and know lhe same to be A�e and correct. All provisions of laws and <br />ordinaces go��erning this lype t work will be complied with whelher specified herein or not. The granling of a permit does nol presume <br />tu give authonty to violate or � ncel the provision of any other state or local law regulating construction or the performance of <br />construction.`That I am authoFized by lhe owner of this property to pertorm ihe �vork for which application is made and I comply with the <br />State Contractors La�v 1Q27 RCW and 296.200 WAC. <br />