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PCRMIT ANPLICATION <br />CITY OF EVERETT PERMIT �ERVICES <br />3200 CEDAR STREET, EVERETT, WN 982L1 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED F.:OM 8 AM TO 4 PM <br />' C; r✓D� i s" T <br />LOT NO. BLOCK <br />TENANT NAME <br />�A/'i'f <br />PARCEL TAX I.D. # <br />`�'9� = a�/ - b o ��= <br />TRACT OR SUBDIVIS!ON # <br />A�,'H�,E', r/ 3/�%7 ��C�V rld�" <br />CONTACT FOR FERMIT <br /><� /'✓fF� <br />cvn�nc i �n • �-• <br />=7�r/'�Ti �f`r,• ;,r;�i; �( r�l�;'f/,!'i % <br />CONTR. LICENSE # <br />USE OF BUILDING <br />SF.� <br />HEAT Sqt1RCE <br />_ Electric l Gas _ Diher <br />__� . _I <br />PERMIT # <br />'� ��� � <br />'.i s6.i -��� , <br />PHO_N,.,� <br />��.1',SO� �� % n <br />WORK DESCRIPTION , <br />���'�'i�'����/�pf l �i,rrsi�G �'E'frvF.�c� <br />-- PLUMBING <br />Np, I TYPE OF FIXTURE OR ITEM <br />Toile� <br />6a�hlub <br />Lavatory (wash basin) <br />Sliower <br />Kitchen sink & dis�osal <br />Dishwasher <br />i Clu�hes washer <br />Water heater <br />Sink (service/har/moplelc.) <br />gar.kflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />koo( drains <br />Olher <br />iN� <br />PHONE <br />�ONTRACT PRICE OF WORK <br />/ -�Ll�' �j) <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling unds <br />�orced air sys�ems <br />Gas piping <br />Waler heater <br />Gasfireplace <br />Gas range <br />Clo�hes dryer <br />Range hood <br />Exhaust fan <br />Heal pump <br />Unit hea�er <br />Boiier <br />Ra'.iigeration <br />VJoodslove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify O�at I have read and examined this application and know Ihe same in be true and correcl All provisions o( laws and <br />ordinances governing �his type of wurk will be complied wilh whether specified herein or noL The granting o( a permit does not presume <br />to give aidhoiily lo violate or cancel ihe provision of any o�her slale or local la�v rey�lating conslruction or ihe peiiormance of <br />construction. Thal I�m aulhorized by lhe owner o( lhis property to perform �ne work for which applicalion is made and I comply with the <br />Slote Co�•'�pe�is La�� 1827 RCW and 296200 WHC. <br />