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SITE ADDRESS <br />L GA /�TNO. <br />DESC. <br />OWNER <br />TENANTNAME <br />CONTRACTOR�f v <br />/��. <br />CONTR. l.ICENSE # � <br />USE OF BUILDING <br />WORK DESCRIPTION <br />IT APPLICATI�f� <br />f;ITY 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 />PARCEL TAX I.D. # <br />� �� <br />BLOCK TRACT <br />ADDRESS CITYIZIP <br />CONTACT FOR PERMIT <br />� uc� QH � <br />ADDRESS J� O gOX "�' f�' CITY2IF <br />r -T�� <br />� N���� 9�k� � � <br />HEAT SOURCE <br />Eleclric Gas Other <br />;,��e �'������ <br />NO. I TYPE OF FIXTURE OR ITEM <br />� <br />� <br />Toilel <br />Bathtub <br />Lavatory (wasli basin) <br />Shower <br />Kilchen sink & disposai <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/elcJ <br />Backtlow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />N0. <br />6 �-a�z -06 <br />PERMIT N <br />PHONE <br />,�53-y1�3 <br />CONTRACT PRICE OF WORK <br />.J �i�t �� <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Ciothes dryer <br />Range hood <br />Exhaust tan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstoy <br />Other ' � S' � � <br />CITY Of EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify thal I have read and examined lhis application and know the same to be true and correcL All provisions of laws and <br />ordinaces goveminc� this type o( work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give aulhonty lo violate or cancel the provision of any olher slate or local law regulating consWction or lhe performance of <br />conslruclion. Thal I am aulhorized by lhe owner ot tlJs perty to periorm lhe work for which application is made and I comply wilh the <br />State Contrador Law 18.27 RCW a d3� 200 <br />� ,� �% � �� ..� �-.z � o� <br />