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SITE ADDRESS <br />LEGA LOT NO. <br />DESC. <br />PE�tMIT APPLICATIOIV <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 />BLOCK <br />TENANTNAME <br />CONTRACTOR � ��; ,1,� � �% <br />CONTR. LICENSE # <br />USE OF BUILDING <br />WORK DESCRIP(T'ION�I(r �'/ n �'` <br />i y J <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />Toilcl <br />821htub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Si.ik (service/badmop/elc.) <br />Backllow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />PARCEL TAX I.D. N <br />00�{ 34G�6D'.(j.i <br />TRACT <br />CONTACT FOR PERMIT <br />ADDRESS CIT <br />HEATSOURCE <br />Electric Gas Other <br />,,g-I��J / /"�G�-%2 �l.oc:2 <br />NO. I <br />8 <br />PHONE <br />PHONE <br />PRICE OF WORK <br />1067 L lr+G. <br />TYPE OF FIXTURE OR ITEM <br />AIC — air hand�ing units <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas firep�ace <br />Gas range <br />Ctothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit healer <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS ]105 <br />I hereby ceritify that 1 have read and examined this application and know the same lo be lrue and correct. All provisions of laws and <br />ordinaces c�overning this type of work wili Lie complied wilh whelhor specifiod herein or nol. The yranling of a pertnil does not presume <br />to givo authority to violate or cancel the provision of any olher slale or local law regulating construclion or ihe perfortnance of <br />construction. Thal I am authorized by the owner of this property �o pei;orm lhe work for which applicalion is made and I comply wilh the <br />State Contractors Law 18.27 RCW and 296.200 WAC. <br />�� <br />� <br />