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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.ory <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRE55 <br />I <br />LEGAL LOT NO. BLOCK <br />DESC. <br />OWNER k I, ^ <br />b r,c�'av�� <br />TENANT NAME <br />� <br />l� �i ��Ylli�'�_ .�/�,�/ �� <br />CON.TRACTqR /Zy� IG(✓ �" /' � <br />�.. <br />CONTR. LICENSE # � p �'CGT' 2� <br />i �i � -r- � <br />11SE OF BUILDING <br />PARCEL TAX I.D. N <br />TRACT <br />CONTACT FOR PERMIT <br />IH� DDRESS PD. ��� I cmair <br />�e�-�l`Jt'i � GJl�- 9�/� <br />��'>1- O� <br />HEATSOURCE <br />Electric Gas Other <br />WORK DESCRIPTION <br />C�+d�ifi� o� tA.ac+ll a.�d t�u� 6�i �.e� <br />Lul.c� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />! aurdry tray <br />Sink (service/bar/mop/etc.) <br />Backflow prevenler <br />Urinal <br />Dnnking Fountain <br />Floor drain <br />Grease irap <br />Roof drains <br />Olher <br /># <br />PHONE <br />PH� �T�� '�Gt7�' <br />CONTRACT PRICE OF WORK <br />GAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C -- air handling units <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rangehood <br />Exhausl fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 5105 <br />I hereby ceritify lhat I have read an xamined this applicalion and know the same to he Irue and correcL All provisions of laws and <br />ordinaces gov mg lhis type of ork will be complied with whelher specified herein or not. The granling of a permit does not presume <br />to give auth dy to violale-or ncel ihe provision of any o�her s�ale or local law regulating construction or lhe performance of <br />consiruc � n. 7ha1 �I�au rized by the owner of this properly lo per(ortn the work for which application is made and I comply wilh the <br />Slate nlcacloiGLaw 1. 7iRCW and 96.200 WAC. <br />�y�l <br />