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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 />SITE ADDRESS -� /� <br />3613 oA►cEs qvE ff' <br />LEGA LOT N0. �i' BLOCK <br />DESC. 7 � g UQ7' <br />OW NER <br />AND�2Ew NATcH <br />TENANTNAME <br />N A <br />�T8 <br />N �A <br />CONTR. LICENSE k <br />USE OF BUILDING <br />P FS i DtNf l I! L <br />PARCEL TAX I.D. t <br />TRACT OR SUBDIVISION � <br />t�IV M <br />l3 oAtcEs AVE <br />ICONTACT FOR PE <br />5(� A3ovE <br />E <br />HEATSOURCE <br />� Electric � Gas _ Other <br />PERMIT i <br />yV� ro��-aaco ��; <br />!�p PMONE <br />wezoi 4zs-u3-9143 <br />PNONE ABOY6 <br />CONTRACT PRICE OF WORK <br />A <br />WORK DESCRIPTION <br />REDLAc6 Ekl STI►�G WATGR HEATEV�S - C� ) NATvKqL rqqi �(�� E�G7Rit <br />L� __, <br />NO, I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water healer <br />Sink (service/barlmop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drein <br />Grease trap <br />Rooi drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas hrepiece <br />Gasrange <br />Clothes dryer <br />Ranqe hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refriperetion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br />I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinances governing this type of work will be complied with whether specified herein or not. The granfinp ot a pertnit does not presume <br />to give authority to violate or cancel the provision af any other state or local law repulating construction or the perfortnance of <br />construclion. That I am aulhorized by the owner of this property to perfortn the work fcr which application is made and I comply wilh the <br />State Contractors Law 18.27 RCW and 296 200 WAC. <br />�o��� �ZOiD <br />