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SITE ADDRESS <br />� <br />LEGA LOTNO. <br />DESC. <br />OWNER <br />--�—�.�.� —/ s <br />TENANTNAME <br />PERMIT APPLICATIVN <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 />APPLICATIGNS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAY, i.D. # <br />S� oo,' 6 10D Sac� �/pU <br />BLOCK TRACT �y <br />O� s �"-D % r/ �/a C'�- %%c�d %U � r��/' <br /># <br />nuuncao ���.���� �......� �/l.� <br />as2-, <br />y2�� a/r � Sr L�v�� �/�9�fZo� <br />CONTACT FOR PERMIT PHONE <br />L'/;,s 7�y/•� yzs' z39-ZoE 2 <br />CONTRACTORG"�YrS '/ �-y �/L /� ADURESS <br />!`�J7'/.i� Arf-�� �14/ cJt1' <br />CONTR. LICENSE # � 1 / /O � � �G � D ( <br />— y <br />USE OF BU�LDING <br />sr���; <br />WORK DESCRIPTION <br />��Ci�iu <br />� <br />� <br />i <br />(0 32 Y <br />HEAT SOURCE <br />CITY2IP PHONE <br />W � IietcL. � <br />fV�/-�%% %ZS�'z39 ?oG z <br />Electric _ Gas _ Olher i10 � <br />CONTRACT PRICE OF WORK <br />� '�D� � <br />� � �� � � �� � /9ai� -� �'nn %/r�'+-,� / <br />�'��s ��, j' 6"' '�% <br />TYPE OF FIXTURE OR ITEM <br />Tdlel <br />BathWb <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/badmop/elc.) <br />B3ckllow prevenler <br />'Jrinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. I IYPE OF FIXTURE OR ITEM <br />A/C – air handling units <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas firepiace <br />Gas ranc�e <br />Clolhes dryer <br />_ Range hood <br />Exhaust (an <br />Heat pump <br />Unil heater <br />Boiler <br />Refrigeralion <br />Woodslove <br />Other <br />� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9705 <br />I hereby ceriti(y Ihat I have read and examined this application and know lhe same to be true and correcL All provisions of laws and <br />ordinaces goveminc� this type of work will be complied with whelher specified herein or noL The granting of a permit does not presume <br />lo give authority to violale or cancel the provision of any other state or local law regulating consWction or the pedormance ot <br />construclion. Thal I am aulhorized by the owner of this property to periorm lhe work for which application is made and i comply with tha <br />State Contractors Law 18.27 RCW d 296.200 WAC. <br />� �c�,r�>� —_ .5��2� C�� <br />