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PERMIT APPLICATION <br />CITY OF EVERETT PERM17 SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />��'� 1�t�1�Ft� ��' ��' <br />LEGA LOTNO. BLOCK <br />DESC. <br />� �/E�� %� fjOus/A/� ��[�71/�Y.�i <br />TENANTNAME <br />� �� <br />, /n/ G <br />CONTR. UCENSE # ��L��}C' Z' '�r ^O(` ( . <br />C;...t,l.3 � <br />USE OF BUILDING <br />PARCEL TAX I.D. # <br />' :�o�i �vv <br />TflACT OFi SUBDIYISION p <br />- Z7i5 �5 �'' <br />FOR PERMIT <br />HEATSOURCE <br />✓Electric ✓Gas Other <br />I . y2,5-303 -�/3 <br />PHONE <br />/rnvn� ��� <br />���,f <br />�'.vd, � `�`L� 7%� <br />CONTRACT PRICE OF WORK <br />WORKDESCRIPTION :/J.j�z��L lJ�'��.J L.:1"-S�-cJ'S�j���UIF,� P�UV//.L� N`Q.•.•l COP�F� <br />�iA/E� /U �iLC F-,Ky-�.J'(_-� �S-tE �9-.TYfc_,y-� C'U�j UF�ScolJ�E O�' 4(/O2.�C Oif:-U�%'1� <br />NO. I TYPE OF FI%TUHE OR ITEM <br />Toilet <br />Bathlub <br />Lavatory (:vash basin) <br />Shawer <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Waler healer <br />Sink (service.'barlmop/e�c.) <br />Backllow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grcase irap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling unils <br />Forced air syslems <br />Gas piping <br />Waler healer <br />Gas lireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhausl fan <br />Heat pump <br />Unit heater <br />8oiler <br />Relrigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br />I hereby cerilily Ihat i have read and examined Ihis applicalion and know the same to be true and correct. All provisions ol laws and <br />ordinaces governing Ihis lype ol work will be complied with whelher specified herein or nol. The granting of a permit does not presume <br />lo give aulhority lo violate or cancel llie provision ol any other slate or local law regulaling conslruclion or the perlormance ol <br />construclion. That I am aulhorized by the owner ol this property to perlorm Ihe work lor which applicalion is made and I comply with Ihe <br />State Conlractors Law 18.27 RCW and 296.200 WAC. <br />�� �;✓� � 7-/4 <br />