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�r�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9820 � <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS ��� PARCEL TAX I.D. # <br />� 1 �� � . � _ F��JEY'�C-� �i I N�v� v ��� �/ <br />LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION # <br />DESC. <br />OWNER ADORESS <br />�,� << �� vl �� '-; i, r-, r., r, • � t �� : � � i C -f, �, - I �"` y� `�? �7 3 <br />TENANTNAME CONTACTFORPERMIT <br />—.�. <br />'_ r':�_"it-� "�"'����1'� i_ ��1� �'�,fi� �liC'1. Y i <br />�,V'�[ 1� <br />CONTR. LICENSE # <br />USE OF BUILDING <br />�1_f`�L Y �A�—c=1� <br />_ "�f �-Q'� <br />tMIT # <br />fY/ZIP PNONt�.�li� Yr(�� ��,��p <br />C <br />F�E1=L�r� �fr,��� <br />PHONE -:_r�., f j�� ('"- I�.,� ��1 <br />I <br />HUURC.7J <br />��-:�- \:.,e.�n��73 r ,� � ;Z�� "Z�v'75.5 I`il�;' <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />1� Electric Gas Other nNi ���!v� � <br />WORY �ESCRIPTION —�L,�'�1�, l '�-����(��1L�5�J( <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toile! <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishw2sher <br />Clolhes washer <br />Water healer <br />Sink (service/oadmop/elc.) <br />Back(Iow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease t�ap <br />Roof drains <br />Other _ <br />� <br />� <br />MtG <br />TYPE OF FIXTURE OR ITEM <br />AIC — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas (ireplace <br />Gas range <br />Clolhes dryer <br />Rangehood <br />Exhausl fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodsfove <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />I hereby cerilify that I have read and examined this application and know the same to be true and correc�. All orovisions of laws c;nd <br />ordinaces governing lhis type of work will be complied wilh whether specified herein or noL The granling of a permit does not presume <br />to give authoriry to vinlate or cancel lhe provision of any other slate or local law regulating construction or lhe periormance of <br />conslruclion. Thal I am aulhorized by lhe owner of this propeRy to per(orm the work for which 2pplication is made and I ccmply with lhe <br />Slate Conlraclors Law 18.27 RCW and 296.200 WAC. <br />C��ti'�,`; ,��,� �='�`tra, !-:�-�-_,,,, Q1-„ /�, <br />0 <br />3 <br />