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SITE ADDRESS <br />233o m�.: <br />LEGAL LOTNO. <br />P�RMIT 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 />u� <br />BLOCK <br />TD_a,�p��I•�i� ? <br />CONTRACTOR <br />(�N�l�� ��n��✓�C�u/ <br />CONTR. LICENS N <br />USE OF BUILDING <br />�� <br />es� �4 �,� S- <br />WORK DESCRIPTION <br />�a�,: I� ) <br />�/ � ` <br />�CJ.�JrM1 � ` ; S I � `�1 <br />I PARCEL TAX I.D. # <br />i <br />TRACT OR SUBDIVISION N <br />AODRESS <br />> n��.�kz� qve <br />CONTACTFOR PERMIT <br />7��„�� ��rl,r�u <br />ADDRE� <br />r- <br />2H.1 ����� <br />NO. I TYP[ OF FIXTURE OR ITEM <br />Toilet <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kilchon sink 8 disposal <br />Dishwasher <br />Cblhes washer <br />Walcr heater <br />Sink (service/barlmop/elc.) <br />Backtlow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease irap <br />Roo( drains <br />Other <br />�'ve�2elfi wA <br />� <br />HEATSOURCE <br />Eleclric `! Gas _ Olher <br />InSu��.iC � S%�.jro�� <br />E-MAIL <br />(� —� g—o?� <br /># <br />q�Z�3 77Z-9y�+ <br />1S' 7Z444y <br />�N� �M4AL�/ciCl�1G[,� <br />CONTRACT PRICE OF WORK <br />ZS°'° <br />NO. I TYPE OF FIXTURE OR ITEM <br />iVC — air handling units <br />Forced air systems <br />C�as pipinc� <br />Waler heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhauslfan <br />Hea� pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriti(y that I have read and examined lhis application and kno�v lhe same lo be true and correct. All provisions ot laws and <br />ordinaces governing this type of work will ba r,omplied with whether specified herein or roL The granting of a permit does nol presume <br />to �ive aulhority to violate or cancel Ihe provision of any olhcr stale or local la�ti� regulaling conslruclion or the peAormance of <br />conslruction. That I am authorized by the owncr of lhis property to pertor i lhe work for which application is made and I comply �ti•ith lhe <br />State C�tr:�tor�aw 18.2�i,W and 29�.200 WAC. <br />i , i � /' <br />..., � � - ...; j ` ,�� �C 1� Z� Og <br />