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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — vwvw.everettwa.org <br />SITE ADDRESS <br />�L- � u I-1ul ,ro-lC <br />LEGAL LOT NO. <br />DESC. � <br />OWNER <br />.`JQN!-��\ J�'lu�lL <br />TENANTNAME <br />CONTRACTOR p�J 1.�� T <br />CONTR. LICENSE # <br />USE OF BUILDING <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />z �cc t <br />BLOCK <br />PARCEL TaX I.D. # <br />zyQy3Sou'r o <br />TRACT �l <br />r{y ('�I ` � �_C;L- oc,e -vY <br />LJ'=�� L` S�uY� 1_lll \ I <br />ybLL S.=gl��,..s� �2 �i <br />CONTACT FOR PERMIT <br />ADDRESS CITY2IP <br />I — HEATSOURCE I <br />Electric Gas Other <br />WORK DESCRIPTION <br />�J �i\� S �� 5�'� e� V-� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Waler heater <br />Sink (scrvice/badmop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinkinc� Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other _ <br />YHVfiG 1�15^L <br />:� 4�s���3 <br />PHONE <br />PHONE <br />CONTRACT PRICE OF WORK <br />�Z�Uoav <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling unils <br />Forced air systems <br />Gas piping <br />W ater healer <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaust fan <br />Heal pump <br />Unil healer <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />i hereby ceritify lhat I have read and examined this applicat�on and know the same to be true and correct. All provisions of laws and <br />ordinaces goveming this type of work will be complied wilh whelher specified herein or not. The granting of a permit does not presume <br />to give aulhorily to violale or cancel Ihe provision o( any other state or local law regulating construction or lhe performance ot <br />consiruction. That I am aulhorized by the owner of this property lo perform lhe work tor which applicalion is made and I comply wilh lhe <br />State Contraclors Law 1827 RCW and 2.200 WAC. - <br />�— <br />Z-G-z�� �/�. <br />Si urt of OwnedC nt ctorlAu nzed Agent Date <br />