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SITE ADDRESS ,,� <br />��.-� / <br />LGGAL LOT NO. <br />P�RIVIIT APPLICATlON <br />CITY OF EVERETT FERMIT 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 />J /�'i L % <br />�ytiZN:� <br />� i i-1nNi� �� , `` 1`> �-���,� ��� <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />�L ��'�'�,�� <br />/t� �/�-�v <br />PERMIT # <br />TENANT NAME CONTACT FOR PERMIT PFiONE <br />(��) �f l—lU4' J-�vG ����� �.�� G�i' �` fC� <br />E-MAIL <br />CONTRACTOR A�DRESS CITY2IP PHONE <br />i/�� <br />CONTR. LICENSE # i (. L�L�I�� -- <br />USE OF BUILDING <br />HEATSOURCE <br />_ Eleclric Gas _ Olher <br />CONTRACT PRICE OF WORK <br />r'(��C'�O �� . � <br />N/ORK DESCRIPTION Y_, �( �� \ 1 <br />��"y 1 /, r� - � �: �. (�)�1 `--7-[) N�r 1I��.��C\L —'"� <br />�`, l��Jv �.L�T�� i ,i �'-L�-+� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />BathWb <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar(mop/etc.) <br />Back(low preventer <br />Urinal <br />Drinking Fountain <br />�loor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. <br />!,C <br />� <br />G <br />7C <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rangehood <br />Exhausl fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certi(y that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />urdinances governing this type of work will be complied wilh whether speci(ed herein or noL The granting of a permit does not presume <br />to give authority lo violale or cancel the provision of any other state or local law regulating construclion or Ihe performance of <br />conslruction. That I am authorizeU by the owner of this property lo periorm i;ie work for which application is made and I comply with the <br />State Coniractors Law�i$.27{�CW nd 296200 WAC. � <br />� ' ���' �C� ��> <br />� � .� <br />� f� �,�_ ��� <br />,�. ,:., . <br />n._�_�..�....(ll....�...1l��r�l..�..1...1/�..s1....:��H /���nl fl�in <br />� ,E. .is,.:.e:`..'iei. -r` . <br />