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SITE ADDRESS <br />LOT NO. <br />P�RMIT APPLICATIGN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK I TRACT <br />PARCEL TAX I.D. iM <br />bo0 - �,o D <br />rr�� -o <br />F�'E'nF7T/i�odf/�✓G w�nwa <br />��T,Y�,e�Ty 3/�7 P�BYAi/E' ��T,Lq�'�/ S�� ,r�3 %Z/ <br />TENANTNAME CONTACTFORPERMIT PHONE <br />SAryF— I �o.✓ .v�, `F S/�.r.� 63/^0 <br />CONTRACTOR ADDRESS CITY2IP PHONE <br />E��FlTif��/.r/.✓G AciT//a�i7� <br />CONTR. LICENSE # <br />USE OF BUILDING <br />S, <br />WORK �ESCRIPTIC�N <br />�c��11/k'/iC��"/�c'r�r� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposai <br />Dishwasher <br />Clothes washer <br />Water healer <br />Sink (service/bar/moplelcJ <br />Back(low preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Olher <br />HEAT SQURCE CONTRACT PRICE OF WORK <br />/ _ y'oo <br />Eleclric � Gas Other � <br />c�,�/STNG ,�f—S/OE'�✓�F <br />� <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — afr handling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhauslfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Waodslove <br />Olher_ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriti(y that I have re�d and examined ihis application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing Ihis rype of work will be complied wilh whelher specified herein or not. The granling of a permil does not presume <br />to give aulhority to violate or canr,el the provision of any olher stale or local law regulaling conslruclion or the perfortnance of <br />conslruction. Thal I am authorized by lho owner of lhis property lo perform lhe work for which application is made and I comply with lhe <br />State Conl�sclors Law 18.27 RCW and 296.200 WAC. <br />