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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 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM �Q �G " 0� <br />SITE ADDRESS <br />'Z$ a� %� <br />LEGAL LOTNO. BLOCK <br />DESC. <br />OWNER <br />�/'� /�e � /Lc � ��r�L <br />�8�..' <br />TENANT NA� <br />ca+rR vncr� �(J;isr+iF-'l..l'!+7 Gv;A�a: <br />�� �i{�c�.��Zy <br />CONTR. LICENSE M n <br />G�f}5 ��/1� �' �% .�i il (� � <br />USE OF BUILDING � <br />�PARCEL TAX i.D. ll <br />Oa39��oaa6 <br />TRACT <br />a.o br� <br />CONTACTFOR PERMIT <br />.: <br />PERMIT R <br />�n�Rin-o <br />1�52 %�S Z <br />PHONE <br />nn f�-��- iSoo"7�ts' <br />Ij5 J� � �(�,��CITY P PHONE <br />„� <br />.r�/��� <br />% ��'3 � <br />HEATSOURCE <br />_ Electric _ Gas _ Other <br />b-z1Z� - <br />�� s'-�S�S' <br />CONTRACT PRICE OF WORK <br />yZ2 <br />WORK DESCRIPTI� Q� � ll y� � <br />� ;� �� /�� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />La�mdry lray <br />Sink (servicelbarlmopletr,.) <br />BackFlow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Other <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />AIC — air handling units <br />Forced air systems <br />Gas piMng <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range ha�d <br />Exhaust han <br />Heat pump <br />Unit heater <br />Bdler <br />Refrigeratlon <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS ]105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correcl. All provisions of laws and <br />ordinaces governing this type ot work will bc complied with whether spedfied herein or not. The grantlng of a permd dces nol presume <br />to give authonty ro violate or cancel ihe provision of any other state or local law regulating construr, ion or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which appli :ation is made and 1 comply with the <br />State Contractors Law 1827 RCW and 296.200 WAC. <br />� ('"�,:-�1��0�,.a.., `� ��— � ,---� — .. <br />