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SITE ADDRE/SS� <br />LEGAL �OT NO. <br />��/A <br />T[NANTNAME <br />PtRMIT APPLICATI(�N <br />CITY OF EVERETT PERMIT SERVICES <br />320� 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 />�,Nv�-�/ <br />BLOCK <br />CONTR. LICENSE N ��� <br />USE OF BUILDING <br />5�2 <br />WORK DESCRIPTION <br />/��l'�%1�✓, lA l_ <br />PARCEL TAX I.D. # <br />Z_�,o/-nov-ooa <br />TRACT OR SUBDIVISION # <br />CONTACT FOR PERMIT <br />�P�� �✓��F <br />HEATSOURCE <br />_ Electric V Gas _ Other <br />- ,�'�`!�<//�'��/'%�'G� L <br />PLUMBING <br />NO. I NPE OF FIXTURE OR ITEM <br />Toilet <br />Balhlub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Water healer <br />Sink (servicel6admup/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other _ <br />� <br />PERMIT # <br />PHONE <br />/Is� �� P-� s�9� <br />CONTRACT PRICE OF WORK <br />9�� �-a <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handliny dnits <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat aump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />Olher <br />CIN OF EVERETT LOCAI SALES TAX CO�E IS 3105 <br />I hereby cerilify that I have read and examined this application and know the same to be lrue and correcL All provisions of laws and <br />ordinaces governing ihis type of work will be complied wilh whether specified herein or not. The t�ranting of a pemiii does nol presume <br />to give authority to violale or cancel the provision of any olher slale or local law regulaliny consWction or Ihe performance of <br />conslruclio T t I am aulhorired by lhe owner of this property lo per(orm ihe work for which application is made and I comply wilh the <br />State Co >aw 18�7 RCW and 296.200 WAC. <br />: ��! � �l%-'��[� <br />