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PEF�MIT APPLlC�O�'lOh4 <br />CITY OF EVEFtETT PEf3MIT S�RVIGES <br />3200 CEDPR STREET; EVEr�ETT, WA 98201 <br />425-257-8810 — FAX 425-2:'�7-885i —t�vww.everettwa.org <br />APP{.ICATIONS ARE ACCEPTED FROM 8 AM TO 4 Ph9 - pEBIT & CREDIT CARDS AftE NOT ACCEPTED <br />SITE ADDRESS � �^ PP.Rf.E,I YAX t.�. # PERMIT # <br />9� � S c C dE•r�c %� 2w� c�u�' I���S - l� <br />LEGA lOTNO. BLOCK TRACT <br />/f"�t'U�y ��to'lis���t°� .'tiuG. <br />TENANTNAME _ _ <br />o S , \ c) <br />CONTACT FOR PERMIT <br />CONTRHCTOR ��m A � �P � ADD(2ESS <br />'l <br />CONTR. LICENSE p <br />CoNsi�JCTi a��% <br />USE OF BUILDIKG <br />VYORK DESCRIPTION <br />HEATSOURCE <br />_ Electric _ Gas _ Othor <br />iF.� c�J? �h'IP�I°a �c oy' c �>._S <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Ba�Nb <br />Lavarory (wash 6asin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (servicelbar/mopletc.) <br />8ackflow preventer <br />Urinal <br />Dnnking Fountain <br />Floor drain <br />Grease trap <br />Roof dr'�ns <br />Other <br />PHONe <br />CITY2IP PHONE <br />CONTRACT PRICE OF WORK <br />Z ,�� �� <br />NO. I TYPE OF FIXNRE OR ITEM <br />AIC — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas firoplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaust Nan <br />Heat pump <br />Unit heater <br />Boiler <br />RefrigeraGon <br />VW odstove <br />CIN OF EVEREIT LOCAL SALES 7AX CODE IS J105 <br />I herehy �reritiry that I have read and axamined tfiis application and know the same to be true and corred. All provisions of lavn end <br />ardinaces goveming this type of vrork will 6e complied with whether �aecified herein or not The granting of a permit does not presume <br />to give puthoriry to viola0e or I tha �rovision of any othar state or local law regulating construction or the perfortnance of <br />constn,ction. That I em a}� n y the ovmer of this property M perform the work tor which applica6on is made and I comply with the <br />State Contradors Law�tB.27 nd 296.200 WAC. <br />�L <br />