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SITE ADDRESS <br />LOT NO. <br />Pt4MIT APPLICATIUN <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />l��✓./i'�i� <br />BLOCK <br />PARCEL TAX I.D. # <br />�- io%D��-or�o <br />TRACT OR SUBDIVISION # <br />/� —a I --aa� <br />PERMIT # <br />�0�'/0-�? <br />���� <br />TENANT NAME CONTACT FOR PERMIT PHONE � <br />,�'oN l✓C F�� 5'1� - s-��d'-6 390 <br />E•MAII. <br />CONTRACTOR AD�RESS CITY2IP PHONE <br />CONTR. LICENSE if �j�� <br />USE OF BUILDING <br />J F� <br />WORK DESCRIPTION <br />/'i'�ly�l�✓/lA� <br />HEAT SOj1RCE CONTRACT PRIGE OF VVORK <br />_ Eleclric l� as _ Other 9�v. Li� <br />- �E %i1�, �'/� %'r'rG�l_ <br />N0. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />BalhWb <br />Lavalory (�vash basin) <br />Shower <br />Kilchen sink & disposai <br />Dishwasher <br />Cblhes washer <br />Waler healer <br />Sink (service/badmop/eic.) <br />Backflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease Irap <br />Roof dreins <br />Olher <br />NO. I TYPE OF FIXTURE OR ITEM <br />AIC — air handlinc� units <br />Forced air systems <br />/ Gas piping <br />�_ Walerheater <br />Gas fireplace <br />Gas range <br />L Clothes dryer <br />/ Rangehood <br />� Exhaust fan <br />Heal pump <br />Unit heater <br />6oiler <br />Refrigeration <br />Woodslove <br />� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify thal I have read and examined lhis applicalion and know lhe same lo be lrue and correct. All provisions of laws and <br />ordinaces goveming lhis type of work will be complied with whether specified herein or not. The granting of a permit does nol presume <br />lo yive authority to violale or cancel lhe provision of any olher s�ale or local law reyulaling conslruclion or the performance o( <br />conslruction. That I am aulhorized by the owner o( this properly lo perform the work for which application is made and I comply with the <br />Slale C rs L��•+ 7827 RCW and 2�J6.200 WAC. <br />, // % �� -D�' <br />