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SITE ADDRESS <br />LEGALU � OT N0. <br />DESC. <br />OWNER <br />TENANTNAMEn <br />� � ,� <br />CONTRACTOR <br />CONTR. LICENSE # <br />USE OF BUILDING <br />WORK DESCRIPTION <br />.'J� �y �� S';�a t' <br />D���2 /��✓ <br />PtRMIT APPLICATI(�N <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 />APPLICPTIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� <br />BLOCK <br />PARCEL TAX I.D. # <br />y�,� ���� CONTAC�FOR <br />n <br />� �. , / C,�, <br />t /! <br />� ADDRESS � � CITY2IP <br />HEATSOURCE <br />r I �[leclric _ Gas _ Olher I <br />(� i�,�,a T %l7/',P�v�/���� T— l�!<< � <br />�P%A %� -- �tJ/� S%l2i�C T /�l t t.� %� /dli�/.tr [' <br />NO. I TYPE OF FIXTURE OR 17EM <br />Toilet <br />BathWb <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />washer <br />Sink (s�vic <br />Back(low � <br />Urinal <br />Drinking Fc <br />Floor drain <br />Grease tra� <br />Roof drain! <br />�� <br />PERMIT # <br />GU"ju i o <br />�ONE�S L�b � <br />/ <br />' � '-� 3 � � <br />< <br />PHONE <br />CONTRACT PRICE OF WtlRK <br />�o �%S l��� <br />�L.d/J �%;/�S'% //�! � <br />��i�� � � I! S �'} l� <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Eahaustfan <br />Heal pump <br />Unit heater <br />Boiler <br />Re(rigeration <br />Woodslove <br />CITY OF EVEREiT LOCAL SALES TAX CODE IS 3165 <br />I hereby cerilify lhal I haoa read and examined this ap�lication and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this lype �t �^�ork will be complied wilh whether specified herein or nol The granting of a permil does not presume <br />to give authoriry to violale or cancel lhe provision of any other state or local law regulating construction or the performance of <br />construclion. Thal I am aulhorized hy the owner of lhis properly to pedorm the work for which application is made and I comply wilh the <br />State Contrectors Law 1827 RCW and 296200 WAC. <br />Signature of OwnedConlractor/Authorized Agent Date <br />