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SITE ADDRESS/� <br />S"L,'- ) �' , <br />LEGAL LOT NO. <br />DESG. <br />v ^ <br />PtRMIT APPLICATIUN <br />CIT'�( 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 />, � , <br />�J n _,/ �� /�� <br />BLOCK <br />PARCEL TAX I.D. A <br />TRACT OR SUBDIV�SION # <br />PERMIT # <br />CITYIZIP PHONE <br />� ,�7 U <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />E•MAIL <br />CONTRACTOR � ADDRESS ITYIZIP PHONE <br />CONTR. LICENSE fi �� �) /'C//� I � /�y— <br />/ <br />USE OF BUILDING I HEAT SOURCE <br />WORK DESCRIPTION <br />_ Electric _ Gas <br />r7/` ���% i <br />' ``1�-�-T/L.'�� <br />1� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />BalhWb <br />Lavatory (wash basin) <br />Shower <br />Wtchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />'Sink (serviceNar/mop/etc.) <br />Backllo�v prevenler <br />Drinkin� Founlain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Olher <br />CON"'.ACT PRICE OF WORK <br />Other <br />NO I TYPE OF FI%TURE OR ITEM <br />AfC — air handling units <br />Forced air systems <br />Gas piping <br />Waler healer <br />Gaa ��:eplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unil heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />iI hereby ceriti(y lhat I have read and examined this application and know the same lo be true and correcL All provisions of laws and <br />ordinaces goveming this lype o( work will �e complied with whelher speci(ied herein or noL The granlinc� of a permil does not presume <br />I lo give aulhority to violate or cancel the provision o( any other state or local law regulating conslruclion or the performance �f <br />conslruction. That 1 am aulhorized by lhe owner of this property lo per(orm tha work for which application is made and I comply wilh lhe <br />State CoNrac s Law 18:�W e�nd 296 00 WAC. <br />�i�.�i�-�� �� 03////O� <br />