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SITE ADDRESS <br />LOT NO. <br />DFSC <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX ;25-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />BLOCI( I TRACT OR SUBDIVISION # <br />PERMIT # <br />/YI /O " J?l <br />1�Af� IZ CvIP �v��i.l 703 L./+uRc-'I £�ee�tl ��zs'i�"`�-�SCvI <br />TENANT NAME CONTAC7� FOR PERMIT PHONE <br />E-MAII <br />CONTRACTOR ��H�C1LL'a�`�r¢ACToVSADDR S CIT I IP P10 E <br />Po C'xx z.s�9 Kxar��w �� �y r3�'-(o s' � 7S4 S <br />CONTR. LICENSE # � <br />USE OF BUILDING <br />WORK DESCRIPTION <br />NO. <br />CS. l Ol a�� A <br />HEAT SOURCE <br />Eleclric Gas Olher <br />Qt=c.c.� n r a_crJ pF C, .;;.c�-'f'� t2_ <br />PLUMBING <br />TYP[ OF FIXTURE OR ITFM <br />Toilet <br />Balh�ub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Waler healer <br />Sink (service/bar/mople�c.) <br />E3ackflow preventer <br />Urinal <br />Drinking Fountain <br />Flaor drain <br />Grease Irap <br />Raof drains <br />Olher <br />CONTRACT PRICE OF WORK <br />N0. I T.'PE OF FIXTURE OR ITEM <br />A/C — air handling uni�s <br />Forced air syslems <br />Gas piping <br />Wa�er heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhausl fan <br />Heat pump <br />Unil heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TA7C CODE IS 3105 <br />I hereby cartify that I have read and examined this applicalion and know the same to be true and correcL All provisions of laws and <br />ordinances governiiin �his type of �vork �vill 6e compiied wi�h whe�her specifed herein or not. The granling uf a permit does nel presume <br />lo give au�hority to violate or cancel (he provision o( any olher s�ale or local law regulaling consWction or ihe pertormance of <br />wnslruclion. Thal I am aulhorized by the owner ot lhis propeAy lo perform the work for which application is made and I comply with the <br />State Contra6tors Law�.� /2Z RCW and 29G200 WAC. <br />��_' � G;%..�./:>- /U•/Z �U <br />