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31TE ADDRES.'i <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREtT, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-?.57-8857 — w� v�+.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />LOTNO. BLOCK TRACTORSUBDIVISION# <br />� -� �-f --� Z <br />L4.�'lt�'� <br />�tic3`i �r6� <br />-Ol b <br />TENANTNAME �CONTACTFOFiPERMIT PHONE 2�j•y$,Z�Q�9 <br />i�.r.\�..nT�('1�0 Ic/C..�Y�L.1..��`p� E-MAIL 1�'�J\�0.�.��'.Y�W� .COWI <br />-1f.� �i��eC-�\DY1,1,-1C <br /># <br />USE OF BUILDING <br />WORK DESCRIPTION <br />Add C y� <br />�n\oco� C1�� <br />Po $ox �2��3 <br />r'Y'i �11 C�'�ee�,W°� <br />HEATSOURCE <br />Electric _ Gas _ Other <br />�1��e. �h�'r CI�� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Sho�ver <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/badmop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />�25-yg1-lcocd� <br />CONTRACT PRICE OF WURK <br />?�,�0�, o0 <br />NO. I TVPE OF FUCTURE OR ITEM <br />A/C — air handling units <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 />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVEFiETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriti(y that I have read and examined �his aoplication and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this type of work will be complied with whether specified herein or nol. The granting of a permit does not presume <br />to give authority lo violate or cancel the provision of any other state or local law regulating consWction or the performance of <br />���cm�r.tion. That ! am authorized by the owner of this property to pedorm the work tor which application is made and I comply with the <br />�� <br />