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SITE ADDRES`S <br />7 r S t��trol e5c� �� <br />LEGAL LOTNO. <br />PERMIT APPLICATIt�N <br />CITY 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 />d G <br />BLOCK TRACT <br />T�1ctl �Al�ey f��S�ti✓na1- <br />TENANTNAME I <br />l h(�. V/���CV !\�STkrqti r <br />� <br />CONTRACTOR <br />j3:li's Plkmb;�y d C�a� <br />CONTR. LICENSE # <br />QILLSPG v�o�pK <br />(��� <br />�, <br />PARCEL TAX I.D. # <br />CONTACT FOR PERMIT <br />Q I I C,.•Y f <br />A�DkESS <br />��.��x �I� <br />cirrmP <br />�yHhwo��cf <br />i �/ <br />PHONE <br />�yz5% 3 yY-y9y6 <br />P ON� <br />9��i <br />�"��3 `1 `! - y 94"6 <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />Electric Y Gas Olher <br />NORK DESCRIPTION �,,�r„ �' {,�;•K c• q n y Gccic I•�'+ c.� <br />L�nSrn�� ��,.wh:,y fc�� YZiiuw�� i�. f %� . <br />NO. I 1YPE OF FIXTIIRE OR ITEM <br />� Toilet <br />� BalhWb <br />`f" Lavatory (wash basin) <br />= sno�ve� <br />Kitchen sink & disposal <br />� Dishwasher <br />Clothes washer <br />� Waterheater <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />% Urinal <br />Drinkinc� Fountain <br />Z Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />NO. <br />TYPE OF FIXTURE OR �TEM <br />A/C — air handling unils <br />Forced air syslems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust (an <br />Heat pump <br />Unit healer <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify ihat I have read and examined lhis ap{,Iication and know the same to be lrue and correct. �II provisions ot laws and <br />ordinaces goveming this type of work will be complied wilh whether specified herein or noL The grenting of a pertnit does not presume <br />lo give authority to violate or cancel the provision of any other state or local law regulaling construclion or lhe perfortnance ot <br />conslruclion. That I am authorized by the owner of this property to perform lhe work for which application is made and I comply with the <br />Stale Contractors Law 18.27 RCW and 296.200 WAC. <br />^ � �'/7 � O"4 <br />/_�� l�.t�c � l � . . . . . . _ . / <br />