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--- _—_ - <br />_ .-----� _ <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.ory <br />SITE ADDRES <br />L�,'�..�i q�tll�I <br />LEQAL LOT N0, <br />� GW.1 <br />TENANTI <br />��%�,��U��- <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />I PARCEL TAX I.D. # <br />u��[ <br />e�ocK <br />TRACT OR BUlDIV1610N N <br />2 i 2��i �:y�� �rc� q✓ti' <br />TACT FOR PEHMII <br />� O L11!?. . <br />CONTRACTOR ����������' wp�,�.�i�- nuui <br />! j{<;nt'tC- <br />CONTH. LICENSE # �� 5G ( j �'v �1 C� � Cl <br />1 / <br />USE OF BUILOING <br />WORK DESCRIPTION <br />NO. I TYPE OF FlXTURE OR ITEM <br />Toilet <br />Ba1hWb <br />Lav�lary (wa�N ���In) <br />Showcr <br />Kiichen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />— Waterheater <br />Sink (servicelbar/mop/elc.) <br />�ackllow preventer <br />Urinal <br />Drinking Foun�ain <br />floor drain <br />Grease trap <br />Roof drains <br />Other _. <br />� �,��� ,_� ,.,;, � � <br />� U <br />HEATSOURCE <br />! Electrlc _ Gas _ Oiher <br />PERMIT k <br />� (l��%. ��i� <br />/ L��„L�`i-i�,7�1 <br />PHONE <br />. . -� ` } �L'�� jLl" <br />; .�c.. �)� <br />CONTRACT PRICE OF WORK <br />`�U;,� �,�, <br />NO. I TYPE OF FlX7URE OR ITEM <br />NC –air handling units <br />Forced air systems <br />_- (7ar nipinp <br />Waier heaier <br />Gas lireplace <br />Gasrangc <br />Clothes drycr <br />Range hood <br />Exhaustfan <br />Heat pump <br />Uni� heaicr <br />Boiler <br />Relrigeration <br />Woodstove <br />CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify ihat I have read and examined this application and know Ihe same ro be We and correcL All provisions ot laws and <br />ordinaces governing this type of work will 6e complied with whelher specificd herein or not. The granting of a permit does r:ot presume <br />to give authoriry to violale or cancei the provision ol any other state or local law regulaling construction or ihe perlormance oi <br />conslruction. That I am aulhorized by the owner ol this property to pertorm the Nrork for wliich application is made and I comply with the <br />State �ontra tors Law 1827 RCW and 296.200 WAC. <br />'�r�,.� �-, ��z��i �� o <br />