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SITE ADDRESS <br />DESC. <br />LOT N0. <br />P�RMIT APPLICATI�N <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 />It-ft �1�� I <br />BLOCK TRACT <br />PARCEL TAX I.D. # <br />VIJ !C — v �,r� <br />NqME I CONTACT FOR PERMIT <br />CONTRACTOR � W N `--(l ADDRESS <br />CONTR. LICENSE R <br />USE OF BUILDING <br />S , Fr2. <br />WORK DESCR�PTION <br />6(Z,Nt�.,,,,� ��Jn.br�'j <br />�� -}a CO/�4 <br />NO. I TYPE OF FIXTURE OR ITEM <br />-� <br />Toilel <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disF�sal <br />Disliwasher <br />Clolhes washer <br />Waler heater <br />Sink (service/bar/mop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinkinc� Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Olher <br />HEAT SOURCE <br />Electric � Gas <br />�l <br />Olher <br />CITY2IP <br />o -,i-ob <br />PERMIT # <br />�o b-3a'� 0 7�� <br />�,na. 9.s� z y <br />PHONE <br />PHONE <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Waler healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhauslian <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriti(y thal I have read and examined Ihis application and know ihe same to be lrue and correct. All provislons of laws and <br />ordinaces goveminc� this type o( work will be complied with whelher specified herein or not. The granting of a permit does not presume <br />lo give authoi+ly lo violalo or cancel the provision of any olher slale or Iocal law regulating conslruclion or lhe pertortnance o( <br />constr�on. Th� 1 a9Y� rized by tho owner of this property to peAorm lhe work for which application is made and I comply wilh the <br />StatE±Conlracmrs LaGv 18.27/RCW 8�td246.200 WAC. <br />