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SITE ADDRESS <br />_��---��,� �i <br />LEGAL LOT NO. <br />; <br />PERMIT 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 />AP?LICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - <br />BLOCIC <br />PARCEL TAX I.D. # <br />- v� <br />TRACT <br />�Ni-� �7 �1�� /Ss� ��r-�` 9�Zv� y? 3 �a-3- il3 � <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />CONTRACTOR � J ADDRESS <br />!�t?v�'��,e��/iG� /�•Cr'�rc%' je�G- i bSt (05"`/ <br />CONTR. LICENSE p <br />USE OF BUILCING <br />��� <br />WORK DESCRIPTION <br />�� � Iti f`�l 15 / f✓ i.� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />BalhW� <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Waler heater <br />Sink (service/badmop/e�c.) <br />�ack(low prevenler <br />Urin21 <br />Drinking Founlain <br />Floar drain <br />Grease irap <br />Roo( drains <br />Olher <br />CITYIZIP <br />��Y>!J f-� �l-I <br />HEATSOURCE <br />Eleclric _ Gas _ Other <br />PHONE <br />c� 2 �s — 35-5 <br />3/ ��% % <br />CONTRACT PRICE OF W9RK <br />NO. I TYPE OF FIXTURE OR ITEM <br />� A/C — air handling unils <br />Forced air syslems <br />Gas piping <br />VJaler heater <br />Gas (ireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unit hea � <br />Boiler <br />Refrigeration <br />Woodslove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritity lhat I have reaA and examined Ihis application and know lhe same to be true and correct. All provisions of laws and <br />ordinaces goveming this type of work will be complied with whelher specified herein or nol. The c�ranliny c( a permie does not presume <br />to give aulhority lo violale or cancel lhe provision of any other siale or local law regulaling c:msiruction or �he performance of <br />conslruclion. That I 2m aulhorized Ly the owner of lhis property to per(orm lhe work for whi�h application is rr�ade and I comply wilh lhe <br />Slate Contractors Law 1827 RCVV and 29f.200 WAC. <br />'�� /� .����.:_.a 2 - � 3 -_D 7 <br />