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SITE ADDRE$S /� <br />S% <br />IEGAL LOT NO. <br />DESC. <br />�l��f !� <br />TENANTNAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPL.iCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />/���� <br />BLOCK <br />� <br />PARCEL TAX I.D. # <br />TRACT <br />ADDRESS <br />� / (���0 °� <br />CONTACT FOR P MIT <br />CONTRACTOR_ ADDRESS <br />�jat:�-_5 SC�v�CI- :'/�r.Z> .�,�;/ ��J7.�z`7 <br />CONTR. LICENSE p l�'�' .+ <br />� "'r 7�i : � �.� cJ .i � <br />USE OF BUILDING <br />WORK DESCRIPTION <br />HEATSOURCE <br />Flectrir. Gas Olher <br />f(?.� ��'�,r,�,, �-L,-/j�,t_-� //�l-l^-f,�-�- � <br />T\1 �C <br />NO. I NPE OF FIXTURE OR ITF ri <br />r� BathWb <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />CIO(6es washer <br />�' VJater healar <br />Sink (servicel6ar/mop/etc.) <br />�ackllow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />'��" �T _>` 3� 3 t i z-� <br />PHONE <br />CITYlZIP PF70NE <br />�',�,���t �;%s. <br />r <br />� � j •_ G� "c�% / <br />I CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A!C - air handling unils <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas (ire�;�tace <br />Gas rango <br />Cblhes dryer <br />Range haod <br />Exhauslfan <br />Heatpump <br />Unit heater <br />Boiler <br />Relrigeralion <br />Woodslove <br />CITY QF EVERETT LOCAL SAL[5 TFVi COOE IS J705 <br />I hereby cerili(y lhal I have read and �n:amined Ihis applicalion and know lhe same l0 6e true and c�rreG. All provisions ot laws and <br />ordinaces c�oveming this type of wort; will be complied wilh whelher specified herein ur not i he gra�,riing of a permil does not presume <br />to givr, aulhority lo violatr, or cancel Ihe provision of any other slale or local law regulaliny consWction or lhe performance of <br />consiruction. That I am authorized by Ihe owner ol this property lo pertorm lhe work (or which applicalion is made and I comply wilh the <br />Slale Conlractors Law if3.27 RCW and 296.2001'JAC. <br />i <br />. � ' :�.y._i-==_'�� <br />�. � �.:! .L-%,ii�� .. <br />