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SITE ADDRESS <br />LOT NO. <br />TENANTNAME <br />1 <br />PERMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-357-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />!�G l�r S % <br />BLOCK TRACT OR SUBDIVISION # <br />FOR PERMIi <br />PHONE <br />�J —17 —�� <br />PERMIT # <br />� C:C�2 <br />COI�TRAGTOR� ' rJ/J / �+wrccaa �S �������� •��••�••. <br />%i�.*h.�L[E�/J. /•> .`i .;'� /ic_���)t � /? h� � �19Z�.sTL. ,� y � _ 3 5 S, <br />CONTR. LICENSE # <br />f/�F55�/(�5�/ r SC5�3 � �, �� 5� <br />USE OF BUILDING � HEAT SOURCE CONTRACT PRICE OF WORK <br />n � <br />�L �� � Eleclric � Gas � Other <br />�t''.� �/��- - <br />WORK OESCRIPTION <br />N0. I NPE OF FIXTURE OR ITEM <br />Toilel <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />L Kitchen sink & disposal <br />Dishwasher <br />�_ Clolhes washer <br />/ Waler heater <br />Sink (serviceNarlmop/etc.) <br />Back(low prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas flrepiace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhauslfan <br />Heat pump <br />Unil heater <br />Boiler <br />Refrige2tion <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this applicalion and know the same to be true and correcL All provisions ot laws and <br />ordinaces governing this lype of work will be complied with whelher specified herein or noL The granting of a permit does nol presume <br />lo give authority to violate or cancel lhe provision o( 2ny other state or local law regulating conslruction or the pedormance of <br />consiruction. That I am authorized by the owner of lhis property lo pertorm the work for which application is made and I comply with Ihe <br />Stale Contractors Law 18.27 RCW and 296.200 VJAC. , <br />—/S— � <br />