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f <br />PCRMIT APPLICATIUN <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 />SITE ADDRESS PARCEL TAX I.D. # PERMIT # <br />.:.512' P���z h�,�T �tWn� oos-�l��3ooio� �,o��-o�� <br />LEGAL LOTNO. BLOCK TRACT <br />DESC. �y.Z EI yU� 3 �J <br />OWNER � ADDRESS CITY2IP PHONE <br />/�ev,n �Sli'N�19h-- f,2m18 4-25� <br />pint }l wsi l`�� �rfr,�-j7 Wi1 � 3�.. � I.`� 2 <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />CONTRACTOR <br />CONTR. LICENSE p u/� <br />USE OF BUILDING <br />5F�' <br />ADDRESS <br />HEATSOURCE <br />� Eleclric _ Gas jLOlher <br />CITY2IP <br />PHONE <br />CONTRACT PRICE OF WORK <br />�r /a, <br />WORK DESCRIPTION �` mQJQ W/N�(Oc✓ � pGY�i2.. !( �I pv* iSq�,� � <br />a�cJ7 �, <br />n ���z - nw�z �-yPz �_ � �nw�— �7- 1"h�s -F� �,� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilcl <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundrylrey <br />Sink (service/badmop/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Water healer <br />Gas fireptace <br />Gas rango <br />Cblhes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />I hereby cerilify lhat I have read and examined lhis application and know lhe same to be true and cortect. All provisions ot laws and <br />ordinaces governing Ihis lypo ot work will be complied wilh whelher specified herein or not. The granting of a pertnit does nol presume <br />to give authority to violate or cancel the provision of any other state or local law regulating conslructlon ar the pedormance of <br />construction. That I am authorized by the owner o( this property to perform the work for which apptication is made and I wmply wilh the <br />Stale Contractors Law 18.27 RCW and 2�6.200 WAC. <br />