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SITE ADDRESS <br />LEGA L NO. <br />DESC. <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 />PARCEL TAX I.D. # <br />5 i � <br />BLOCK � TRACT OR SUBDIVISION # <br />1�J��� p���` `'� <br />r� -�y �07 <br />OWNER ........�..,. _._ _ O 3 <br />� N- �}- �'l o c (,S'��,5 i f�ua,�i'- �� z t <br />TENANT NAME � CONTACT FOR PERMIT PHONE <br />CONTRACTOR <br />09ri�s Sdzvice i`'�r,r� <br />CONTR. LICENSE # <br />�vi.utP /�f�TJ3 <br />USE OF BUILDING <br />WORK DESCRIPTION <br />NO. I TYPE OF FIXTURE OR ITEM <br />�� <br />Toilel <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Waler healer <br />Sinic (s^.;.�ceioadmop/etc.) <br />Backllow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Other <br />ADDRES"S/ CITYIZIP <br />/j'ooc 6S7 H�SarJ W �i- <br />I — HEAT SOURCE I <br />Eleclric ��Gas Olher <br />PHONE <br />yr.s = Ssf <br />(, O S f <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FI%TURE OR ITEM <br />A1C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas ureplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustton <br />Heat pump <br />Unil heater <br />Boiler <br />Refrigeralion <br />Woodslove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby ceriti(y that I have read and examined this application and know the same to be true and correcl. All provisions o( laws and <br />ordinaces governing ihis type o( work wiil be complied with whelher speciTied herein or not. The granting of a permit does not presume <br />lo give authority lo violate or cancel lhe provision oi any other state or local law regulating construction or lhe pedortnance oi <br />construclion. Thal I am authorized by the owner ot lhis property to perform the work for which application is made and I comply with the <br />Slale Conlraclors Law 18.27 RCW and 296.200 WAC. <br />.--, ,_z..� �G� .. _ _ - / � - 3 - o � <br />