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SITE ADDRESS �-,�� <br />Y <br />Cl 7 <br />LEGAL LOT NO. <br />DESC. <br />PEF�MIT APPLICATION <br />CITY OF E`� cRETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREl-T, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — vrv,n�✓.everettvda.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />L/r�!Of�.� <br />BLOCK <br />PARCEL TAX I.D. # PERMIT # <br />rj�'_ _ o�/- Do� -oao �/ 120 = <br />TRACT OR SUBDIVISION � <br />AUUItCJJ <br />y� /�o��ii✓� F�iy��'�r/ �io� ['�c�y �dE <br />� <br />'ZIP PHONE I <br />G � �/2� . sn 3. /�Z / I <br />TENANT NAME �CONTACT FOR PERMIT PHONE <br />S�%y� I l���/'�����F �MAr i G�� �.? �/'� <br />CONTRACTOR ADDRE55 CITY/ZIP PHONE <br />E-d� /�E/% ��d.fi//G ri ci;f/o/<"i i � <br />CONTR. LICENSE # <br />USE OF BUILDING <br />v��� <br />WORK DESCRIPTION� <br />,����I/,l_'//���'DpEE_"C <br />uuindows� � <br />HEt,T SOURCE CONTRACT PRICE OF WORK <br />_ Electrir_ ��as _ Other <br />�1'/fj//'✓� ����1/'����� <br />N0. � TYPE OF FIXTURE OR ITEM <br />Toile� <br />6athtub <br />Lavatory (wash basin) <br />Shower ' <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Water heafer <br />Sink (service/bar/mop/e�c.) <br />Backflow prevenier <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Jther <br />IdE7 <br />ll <br />TYPE OF FIXTURE OR ITE�JI <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas freplace <br />Gas range <br />Clothes dryer <br />Rangehood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY Of EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby certify that I have read and examined this applicalion and know the same to be true and correct. All provisions oi lav�s and <br />ordinances governing tnis type of �vork v�ll be complied vtitn whelher specified herein or noL The granting of a permit does nol presume <br />to give authority to vioiate or cancel lhe provision of any olher state or local la�v regulatinq construction or lhe performance of <br />constru ion. Thal I am aulhorized by the owner of this property to perform ihe vrork for which applicalion is made and I comply v�llh the <br />S�ate ors L�w 18.27 RCW and 296200 WAC. <br />/�/� 7�/� <br />