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SITE ADDRESS <br />���� <br />��a���� � <br />TENAtlT NAME <br />P'�RMIT APPLICATi� �V <br />CITY OF EVER�TT PERMIT SERVICCS <br />3200 CEDAR STRE[T, EVERF_TT, WA 98201 <br />425-257-8810 — FA.: 425-257-8857 — �ww.everetlwa.org <br />APPLICATIONS ARE ACCEPTEiI FROM 8 AM TO 4 PM <br />BLOCK <br />o�� <br />CONTRACTOR �.✓�, 1• � /) /� <br />( /�l���� <br />CONTR. LICENSE p <br />I�SE OF BUILUING <br />WORK DESCRIPTION 7�� <br />;� �� ol�.c�1'� � �; 7��'�� <br />`} i�1,f� �i 1���� <br />=i PARCEL TAX I.D. # <br />� �D � ��,i�G�>/%�� <br />�TRACT <br />CONYACT FOFI PERMIT <br />ADDRESS C�Nrz�P <br />HEATSOURCE � <br />I_ Eloctric _ Gas _ <br />�V� ; �C/d�k ? 7�/t <br />�2,L�C f�- ?-lz .��<�G' <br />NO. I TYPE OF FIXTUftE OR IT[M <br />Toilet <br />��l� Bathtub <br />Lavalory (wash basin) <br />� Shower <br />� Kilchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Water healer <br />Sink (service/barlmop/etc.) <br />6ackflaw prevenler <br />Urinal <br />Drinkinp Founlain <br />Floor drain <br />Gmase lrap <br />Roof drains <br />Olher __ <br />Olher <br />-)J�// - 0�5 <br />PERMIT # <br />PHONE �O /� <br />�j 7/3 �:��� <br />PHONE <br />PHONE <br />CONTRACT PRICE OF WORK <br />�� � <br />�,��-SI`1�� %��� <br />%�� �/f Y"/! �j'� Z�i'7 , <br />ryp, I NPE OF FI%TURE OR ITEM <br />NC - air handlinp units <br />_ Forcod air systems <br />_ Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust(an <br />� Heat pump <br />Unil heater <br />Doiler <br />Rofrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriti(y lhal I havo read and examined this appficalion and know lho same to ba irue and cerrecL All provisions o( laws and <br />ordinaces goveming this lypo of �vork will 6e complied wilh whother specified herein or noL The granling of a permit dor,s nol presume <br />lo give aulhoriry lo violate or cancel the provision of any other slate or local law regWa6ng conslrucfion or lhe pedormance of <br />conslruclion. Thal I am aulhorized by Ihe owner of this prcperty to perfo�m Ihe work for which applicatior is made and I comply wilh the <br />A�ate Conlraclurs Law 16.27 RCW ,�nd 296.200 WAC. � / <br />� <br />%z <br />