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PtRMIT APPLICATION <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />.� � �8 �.�.�, � , �A�< <br />LEGAL LOT NO. E3LOCK <br />DESC. <br />OWNER <br />��c���,-r{ (�'1 !�-� <br />TENANT NAME <br />����.�t Z /_ <br />CONI'RACTOR <br />CONTR. LICENSE ii �'"/� E'- <br />USE OF BUILDING <br />�� <br />� <br />iCPSi��'i,� r?� <br />WORK DESCRIPTION <br />PLUMBING <br />� <br />TYPE OF FIXTURE OR ITEPA <br />Toilel <br />BaUilub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Wa!er heater <br />Sink (serviceNadmop/elc.) <br />BackOow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roo( drains <br />oin�� �� c/ti a k�. c��,�<<-F:�,, <br />PARCEL TAX I.D. # <br />TRACT <br />��b <br />CONTACT FOR PERMIT <br />/C �lxr7�" j�'! � �/- <br />ADDRESS <br />HEAT SOURCF <br />�Electric __ Gas <br />Other <br />� �16 --0.6 <br />PERMIT # <br />.a��.�-����, <br />�o `��5-3�7-,s�'. <br />PHONE <br />„Z.s �,�7- Sb'3S <br />CITYIZIP PHONE <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />� <br />A/C — air handling unils <br />Forced air syslems <br />G�s pipinc� <br />Water heater <br />Gas tireplace <br />Gas ranc�o <br />Clothes dryer <br />Range hood <br />Exhaust (an <br />Heat pump <br />Uni! healer <br />Boiler <br />Refrigeration <br />VJoods:ove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerili(y Ihat I have read and examined this application and know the same to be true and cerrect. All provisions of laws and <br />ordinaces governing this type of work will be complied �vith whether specif;ed herein or not. The granting of a permit does nol presume <br />lo give aulhority lo violate or cancel lhc pwvision o( any other state or local law rec�ulaliny conslniction or the pedormance of <br />conslruclion. Thal I am aulhorized by lhe owner of this propeRy lo per(orm Ihe work tor which applicalioo is made and I comply with the <br />Slate Contraclors Law-1�,27 RCW and 296.200 WAC. <br />`.> �, — //._ <br />