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SITE ADDRESS <br />LOT NO. <br />dl <br />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 8 AM TO 4 PM <br />,� Qri�ce. a <br />BLOCK TRACT <br />B�',�Bv��°��fs <br />TENANTNAME <br />CONTRACT6R e u � <br />n <br />CONTR.LICENSEri K�HAB�*�73D <br />B ILDING <br />� kl mi+(�i-"�-%7Z�" <br />PARCEL TAX I.D. # <br />�o�i70oi027oa <br />� <br />3? �.I165 <br />��o1�rni S h (,�l ( tizs�a.3a �73.3 <br />PERMIT �(fu� -�52 E9do a <br />9 <br />ADDRESS �2�5/7 <br />aL�S D�, � <br />HEATSOURCE <br />_ Eleclric � Gas _ Other <br />CITY2IP PHONE <br />,s,�oens, l�9 (425�9a3-4778 <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />�Ie�J �r1�n�c}i6Y1 _ <br />� v�-�' � <br />/ ' — ��,���V.S OI - d? <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toitet <br />Bathlub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clolhes washcr <br />Water heater <br />Sink (service/badmop/elc.) <br />Bachflow preventer <br />Urinal <br />Drinking Fountain <br />Fioor drain <br />Grease trap <br />Roof drains <br />Olher _ <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C – afr handling unils <br />L Forced air systems <br />> Gas plping <br />�Water heater <br />Gas fireplace <br />Gas range <br />� Clolhes dryer <br />�.Range hood <br />Exhaust tan <br />Heat pump <br />Unil heater <br />Boiler <br />Retrigeralion <br />Woodstove <br />Olher <br />CITY OF EVERE7T LOCAL SALES TAX CODE IS 3105 <br />� <br />I hereby ceritify Ihat I have read and examined Ihis application and kno�v the same to be true and correcL All provisions ot laws and <br />ordinaces governing this type of work will be complied wilh whether specified herein or noL The grantlng of a permil does not presume <br />lo give aulhoriry lo vio�ate or cancel tne provision of any olher stale or local law reguiating constn�r.tion or the performance o( <br />consiruction. That I am authorized by lhe owner o( this property to pe�form ihe work tor which applicalion is made and I comply with the <br />State Ccnlractors Law,18.27 RCW and 296.200 WAC. `� <br />