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SITE ADDRESS <br />LOT NO. <br />DESC <br />g�iry r�ko <br />CONTR. LICENSE p <br />USE OF B'JILDING <br />Pi RMIT APPLICATIC� J <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 —www.everettwa.org 6 .-3 %!7 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />o.;� Rp aF� <br />BLOCK <br />� � k !+c qh5'N6 <br />WORK DESCRIPTION <br />�u3' Ffea-E � �1��� �/o <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toile� <br />Bathlub <br />Lavatory (wash basin) <br />Shovrcr <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Waler hea�er <br />Sink (servicelbadmop/elc.) <br />Backllow preven�er <br />Urinal <br />Drinking FouNain <br />Floor drain <br />Grease lrap <br />Roo( drains <br />�-�' -� . <br />� �� <br />� <br />PARCEL TAX I.D. # <br />ITRACT OR SUBDIVISION N <br />Ao !C•q/v /fjND/�yL /� ITYIZIP <br />�C ftNcl'1 <br />ICONTACT F R PERMIT t PHOtyNE <br />. Bft� `� �'�'� MAIL <br />/3!� N� <br />HEATSOURCE <br />Eleciric f Gas Other <br />jac� 5fil�+�'�" <br />C'O(!•,f�l�Y T�P <br />� <br />� <br />PERMIT fl <br />3 <br />y; C�. <br />5/�y�� �4,f-3-Z7_3--3636 <br />CONTRACT PRICE OF WORK <br />m <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Waler hea�er <br />Gas firepiace <br />Gasrange <br />Clothes dryer <br />Range hood <br />[xhaust fan <br />Heal pump <br />Unit heater <br />�oiler <br />Refrigeration <br />Woodstove <br />O�her <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby cerli(y that I have read and examined this applica�ion and know the same to be true and correct. All provisions of laws and <br />ordinances goveming Ihis type of work will be complied wilh whether specified herein or not. The granting of a permit does nol presume <br />to give authority to violate or cancel Ihe provision of any olher state or local Iaw regulating construction or the performance of <br />construction. That I am authorized by the o�vner of this property lo perform Ihe work for which appiication is made and I comply with Rie <br />Sinte Contractors Law 18.27 RCW and 29G.200 WAC. � <br />s`/�Z�/v <br />