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r <br />P��tMIT APPLICATI�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - F/L: 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS <br />SITE ADDRESS <br />2Zt �j Kcr�c�D <br />LEGA LOT N0. BIOCK <br />oesc. Q; � Z� 2 <br />. szF:vE ��s�N� � <br />113:/d:1�:G1:,1� <br />CONTRACTOR <br />CONTR. LICENSE �I <br />l(�(/C' F4�INAL <br />USE QF BUILDING <br />G,�,,C.A roB <br />WORK DESCRIPTION <br />OW �� <br />PARCEL TAX I.D. �M <br />S'r�v- aa� <br />- pt3 -GYz�i <br />TRACT <br />�vtiuYs�cE �,vc �. �Rs7-�a-�v�noN . <br />ZZ.( � hN,e 6(.l,�r�p ,d.f�6 <br />CONTACT FOR PERMIT <br />� <br />ADDRESS <br />/ <br />ir qQ�� rnone3,pv <br />6f/E�if- �'' bi � <br />PHONE <br />��Owue� <br />� CITY2IP PHONE <br />HEAT SOURCE / CONTRACT PRICE OF WORK <br />Electric _Gas_Ol er �• �Z� D�a, � <br />�(l E �U Zb `x L 6` 6,(.�a-6,� <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory,(wash basfn) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/barlmop/efc.) <br />8ackflow prevenler <br />Urinal � •' � <br />Drinking Fountain <br />Floor drein <br />Grease trap <br />Roof drains <br />Other <br />2iku7�Z7� r�% <br />3 z •�f = <br />Z. Z !J �l8� <br />NO. I TYPE OF FI)(7URE OR ITEM <br />A/C — air handling unlW <br />Forced air systems <br />Gas piping <br />W ater heater <br />Gan flreplece <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />RefrigereUon <br />Woodstove <br />Other <br />CITY OF EVERETf LOCAL SALES SAX CODE IS �705 <br />I hereby ceritify that I have read and examined this applicatlon and know the same to betrue and correct. PJI proviaions of laws and <br />ordinaces governing this rype of work will be complied wilh whether specified herein or not The grantlng of a pertnit does not preaume <br />�� qive authority to violate or cancel the provision of any olher state or local law regulating construcUon or the performance of <br />�truction. That I am aulhorized by the owner of lhis property to perform lhe work for which applicatlon is made and I comply with Iha <br />..,ate� ntra,dors Law 18.27 RCW and 296.200 WAC. <br />j,�?GGL(GL� ��,i� l� <br />