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SITE ADDRESS <br />LOT NO. <br />F�RMIT APPLICATI� N <br />CITY OF EVERE7T PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIOPIS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK I TRACT <br />PARCEL TAX I.D. # <br />y —i��t7� <br />PERM4T� # '/ <br />l� u� �7"L'��� <br />TENANT NqME �` 0„b Yld I ,1� CONTACT FOR PER�dIT PHONE <br />r'. (: '- �` l� 3 4 ) 2li � �G* ��.1 `�fJlY1C)'1!?� �'aS� �� �l � � <br />CONTRACTOR ADDRESS CITY/ZIP PHONE <br />i`LiC-'�PS_.Y`-i1C'�'�.. Sc ft��CG�� IYIU ?�'� I�� �.K.l'h.J� 4-1�11 IZI�. �X`� <br />CONTR. LIC NSE #,�.. _.L �/'�_ �. _ (� a� n_ _. __1 .� 1.��f ill !Y]O G I 1 1 <br />USE OF BUILDING <br />WORK DESC <br />HEAT SOURCE <br />_ Eleclric _ Gas <br />Olher <br />CONTRACT PRICE OF WORK <br />��`iD�i�Q�1�(1 F3F' D� �1`�' �rir��-EV' �6'�-2+�/1 . <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory (wash bas'n) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Laundry tray <br />Sin4: (serviceNarhnop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas (ireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />! hereby ceriti(y lhal I have read and examined this application and know the same lo be true and correct. All provisions of laws and <br />ordinaces goveming this rype of work will be complied wilh whelher specified herein or noL The granling of a permit does not presume <br />to give authority to violale or cancel the provision of any other state or local law regulating construction or the periormance of <br />wnslruction. That I am aulhorized by the owner of this property to perform lhe work for which application is made and I comply with lhe <br />i State C cactors Lav��1�2�W and 296.200 WAC. _ �..� <br />Signat <br />