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�'tRMIT APPLICATIC�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — w�.w•everettwa.org <br />51TE ADDRESS <br />t'J ZCC U Y"'L' �i <br />LEGAL LOT NO. <br />DESC. <br />OH'NER <br />��t�}e��e C�1�(�r ( <br />TENANTNAME <br />���- e1,(% e( <br />CONTRA TOF: a� � 1/� � � <br />� � �- � <br />CONTR. IICENSE # <br />USE OF BUILDING <br />WORK DESCRIPTION <br />� <br />�-�s����vC <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TA% I.D. # P RMIT # <br />���// -� <br />BLOCK TRACT <br />�U`Z <br />CONTACTFORPERMIT <br />ADDRESS <br />�%Qi-� �'I�'•��l yZS'��v�"i <br />PHOIJE <br />CITY/ZIP PHONE <br />HEATSOURCE <br />_ Elactric �Gas _ Jther <br />�«jc �u ;�y�Gl�-� <br />NO. � NPE OF FIXTURE OR ITEM <br />Toilet <br />�alhWb <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water healer <br />Sink (servicelbar/mop/elc.) <br />Backflow prevenler <br />Urinal <br />Drinkinc� Founlain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Olher <br />�QN7RACT PRICE OF WORK <br />����� �'� <br />NO. I TYPE OF FIXTURE OR ITEM <br />_I A/C — air handling unils <br />_� Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Ex{�aus� tan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />CITY OF EVERETTl.00AL SALES TAX CODF. IS 3105 <br />I hereby cerilify Ihat I have read and examined t��i, ;ipplic2tion and F.no�v the same to be irue and correct. All provisions of 12ws and <br />ordinaces governing lhis lype of w k witl be complied wilh whelher speci(ied herein or noL The granling of a permit does not presume <br />lo give a qriry lo violale or c cel lh provisi of any olher slate or local law regulatinc� construction or the periormance of <br />const ctiorf. That I am authoriz d by pe ow r f this property to periorm lhe work tor which application is made and I comply wilh the <br />Sta �onlractors Law 18.�7 C d 296 WAC. <br />,�, ,r o �..� `�`�l � �r�� L�(� <br />