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SITE ADDRESS � <br />(� �.� � G rYl �� G' I" o� <br />LEGAL LOT NO. � <br />� �ii c-ii c� r� � <br />T[NANTNAME <br />CONTRACTOR <br />CONTR. LICENSE # <br />USE OF BUILDING <br />� <br />� <br />PEkMIT APPLIC/�►TIOIV <br />CI�'Y OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIOtdS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�O'/ <br />BLOCK TRACT <br />��SO� On ��'���'� <br />�_� �-1,' 11 `l'.� <br />f" <br />�'�0ir��' <br />WORK DESCRIPTION <br />�; � <br />�,1�;�.,_.;�� �-(Gl.�i,'- <br />�C�n�\ <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />BalhWb <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink &�i�sal <br />Dishwasher <br />Clothes washer <br />W aler healer <br />Sink (service/badmop/elcJ <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other _ <br />PARCEL TAX I.D. # <br />,� r�-� �� � <br />CONTACT FOR PERMIT <br />� ��l ���'t ;�� <br />ADDRESS <br />L <br />HEAT SOURCE <br />1C Eleclric Gas Other <br />:���_t���,>���.k -��y� <br />Ano i�v����tic)� <br />:. r-._ ��`i�..� <br />CITYIZIP <br />I l-6 � ..�,6 <br />PERMIT # <br />C.CJ�'/� �CJ/I <br />PHONE <br />�Qlls� �i�r� L-til � �l�l <br />PHONE <br />PHONE <br />CONTRACT PRICE OF WORK <br />.�� � (i L� L` O <br />�, kfi� .ti�YLv�-L-Y��-(.1,� <br />'� 2L��`.c�;�^-� <br />NO. � TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />W ater healer <br />Gas (ireplacr <br />Gas range <br />Clothes dryer <br />Ranc�e hood <br />Exhaust (an <br />Heat pump <br />Unit healer <br />Builer <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF FVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriti(y that I have read and examined lhis application and know the same lo be true and correct. All provisions of laws and <br />ordinaces governing Uiis type of work will be complied with whelher specified herein or noL The granting of a permit does not presume <br />to give authoriry to violate or cancel the provision of any other slale or local law regulatinq construction or the performance of <br />construclion. That I am authorized by the owner of this properly to pertorm the work for which application is made and I comply with the <br />Slate-Gonlraclors Law 18.27 RCW and 296200 WAC. <br />