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�tRMIT APPLICATIC�N <br />CITY OF E'VERETT 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 �z ,�7 _�� <br />SITE ADORESS PARCEL TAX I.D. # PEP.MIT # <br />`1 �'� �� w.r rr �'+1 � ZtSI z4 1 i 2- U{ Z <br />L��.4L LOT NO. LOCK TRACT <br />DESC. <br />�J�S P <br />TENANT NAME <br />COITRACTOR <br />��1r �1�cuq,N�c��,IWc. <br />CON7 R. LICENSE N <br />USE OF BUILDING <br />oi �ruznl �� b . � <br />(CONT/1CT FOR PE MIT <br />�"IIU'I�LEL. �TI,)ovi� <br />ADDRESS <br />91�30 �5 3�' /}v� �/� <br />HEAT SOURCE <br />Electric Gas Other <br />CITY/ZIP <br />��� ��S <br />PHONE <br />2ED�wwn `jYv> Z �(zs) K�3-`)zZy <br />WORK DESCRIPTION <br />hnD�)�a�t,F��sF i!�«�P n t�/ P�d s,N�� a it) Lc.,�,Fn2r��vi s'„vK • <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposai <br />Dishwasher <br />Clolhes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />CONTRACT PRICE OF WORK <br />UGD. t." <br />MEGMANIGAL <br />NO. I 'IYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />_ Forced air syslems <br />_� Gaspiping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clalhes dryer <br />Range hood <br />Exhaust fan <br />Heal pump <br />Unit heater <br />Boiler <br />Re(rigeration <br />Woodstave <br />CITY OF EVERETT LOCAL SALES TAX COUE IS 3105 <br />I hereby ceritify lhat I have read and examined lhis application and know ihe same lo be true and correct. All provisions of laws and <br />ordinaces governing lhis type of work will be complied wilh whether specified herein or not. The granling of a permit does nol presume <br />to give authorily to violate or cancel lhe provision of any olher slale or local law regulating conslructior or �he performance of <br />conslruction. Thal I am authorized by the owner of lhis property to perform lhe work Tor which application is made and I comply wilh the <br />State Conlractors Law 18.27 RCW and 296.200 WAC. <br />