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SITE ADDRESS <br />� 7 �v , <br />LEGA LOT NO. <br />DESC. <br />OWNER <br />�Ll��N� <br />TCNAI7T NAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVlCES <br />3200 CEDAR STREET, EVERETT, WA 9820i <br />425-257-8610 - FAX 425-257-8657 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />R 12D I �S��o�vv� <br />BLOCK TRACT OR SUBDIVISION p <br />r�S� <br />�7 ! (p L-.�Rl Y�1 E,� � b <br />CONTACT FOR PERMIT <br />V�le.S qye�rs <br />I �a�3-I/ <br />RMIT # <br />�ini_ �n� <br />� Ep Er7 �j � o�� � <br />PHONE I[�S �JCsa�� <br />.7 <br />s <br />GONTRACTOR ^��^'°"" "' "—" <br />owv� av�d Cou.�n1�'y� I1y511 Nwy qq,5u�{�, C, l�nnwood �f2S��'P3 <br />CONTR. LICENSE # v �03�J <br />�r_. ...n1.r.�en� --r <br />USE OF BUILDING <br />�a�E <br />�� HEAT 60URCE CONTRACT PRICE OF WORK <br />f{I1�I�1N�--, Y��'F}n fJ�Electric J/�QGas�Other r� n� <br />WORK DESCRIPTION <br />�.oV�S�(r�C'� 0. 1�{�k`J STr c�2.�AC.hCci �OS'�' �Yo..vv�C �O�A.\ �c����� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (servicelbar/mop/e <br />Backflow preventer <br />Urinal <br />Drinking Founta' <br />Floor drain <br />Grease lr <br />Roof d ins <br />Np, I TYPE OF FIXTURE OR ITEM <br />A/C — air handling uni�� <br />Forced air sy;tems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Healpump <br />Unit heater <br />Boiler <br />Refrigera�ion <br />Woodslove y pU� <br />�,_ �Jther c L E[-T/�' lC L� �rS <br />CIN OF EVERETT LOCAL SALES TAX CODE I' 3105 <br />I hereby certify thal I have read and examined lhis application and know the same to be true and correcl. All provisions oi laws and <br />ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permil does not presume <br />to give authority lo violate or cancel the provision of any other stale or local Iaw regulating consWction or the pedormance of <br />consiruction. That I am authorized by the owner of lhis property to pertorm the work forwhich application is made and I comply with the <br />State Coniractors Law 18.27 RCW and 296200 WAC. <br />� �1 . II �in I,.. <br />�/a <br />