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1- cRMIT APPLICATI�JN <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 />� sl � �'{1�N,:�E ,a�� <br />LEGAL LOTNO. BLOCK <br />� t; `F (Cii. <br />TEI�ANT NAME'" O � N <br />�16t�,J Ll�� <br />CONTR. LICENSE # <br />USE OF BUILDING <br />PAftCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />��% il�JulLJ�i�V <br />CONTACT FOR PERMIT <br />l,.1�G"1't7r `]d" <br />PNONE <br />�.�r+twv'.b, <br />— �:ndT– E-MAIL <br />HEATSOURCE <br />Electric _ Gas _ Other <br />WORK OESCRIPTION � � � � C- rr'S f2A 1✓G� <br />;iJ��LI�n�C, 6AF FIf:Cf�.�1CC {i��. <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilcl <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Waten c�ater <br />Sink (serviceNar/mop/elc.) <br />6ackflow prevenler <br />Urinal <br />Drinkin� Founlain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Olher <br />12-�-0� <br />PERMIT # <br />�1 L�bl'd- U'Z'3 <br />10NE � ` f-._ S / j , <br />CONTRACT PRICE OF WORK <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C – air handling uni�s <br />Forced air systems <br />Gas piping <br />Waler heater <br />� Gas (ireplace <br />� Gas range <br />Ciothes dryer <br />Rangehood <br />Exhauslfan <br />Heal pump <br />Unit heater <br />Boiler <br />Re(rigeration <br />Woodslove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriti(y lhat i have read and examined this applicalion and Rnow the same to be true and correcl All provisions o( laws and <br />ordinaces governing this type ot work will be complied with wheUier specified herein or noi. The granting ot a permit does nc.t presume <br />to give authority to violate or cancel lhe provision ol any olher state er local law regulating consWction or the perormance of <br />conslruclion. Thal I am aulhorized by the owner of this property lo perform the work (or which application is made and I comply with lhe <br />Slate CoNraclors Law 18.27 RCW and 29G200 WAC. <br />l' , <br />�ct� �-�.,., 1�.��«r�{.-�i` ��0:�1� <br />