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PERMIl' 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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS PARCEL TAX I.D. tl PERMIT # <br />3/3 f Nassa� Strcat Fi,cic/f� Ooy3?5731� I s� �� � - Z <br />LEGAL LOTNO BLOCK TTRACT <br />...-�,. H �u •.� .(aF /O � _ � <br />TENANT <br />CONTACT FOR PERMIT <br />�vaa <br />szy- <br />�PG cJ E�u��`" I it/q �� Qsfi,���� C2�) 6Z y- 6/// <br />CONTRACTORF/v� „y�'_ L_ _��/, �T"n� ADDRESS���Z �IJNbN,� CITY2I��,G PMONE��\ b�y_��/ <br />�•ru..�v. f / <br />CONTR.LICENSE�I I `��� �� ��`�� <br />- ��'.l1 == L�, ; ��%1 � L � ; -"-; r�'S <br />USE OF BUILDING <br />WORK DESCRIPTION <br />/ <br />/u�na��' .Tr�pti✓o.��rt <br />�:r.��cutx.iym:itn:ax.Luix;� <br />Toilet <br />Balh�ub <br />Lavatory (wash basin) <br />Showcr <br />Kilchen sink 8 disposal <br />Dishwaslier <br />Clothes washer <br />Laundry Iray <br />Sink (servicePoar/mop/elc.) <br />Backllow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Olher <br />HEATSOURCE <br />� Eleciric _ Gas � Other <br />Ci,YTRACT PRICE OF WORK <br />� �S G�rx� <br />NO. I TYPE OF FI%TURE OR 1?EM <br />A/C — air hantlling umts <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Ciolhes dryer <br />Range hood <br />Exhausl fan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Vloodstove <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3705 <br />I hereby centify thal I have read and examined this applicalion and know the same �o be true and conect. AI� pmvisions of laws and <br />ordinaces goveming lhis lype ot work will 6e complied with whelher specified hemin or nol. The granting of a pemiit dces not presume <br />lo give authority lo violate or cancel the provision of any olher slale or Iocal Iaw reguiating construction or Ihe peAormance of <br />const on. 7hat I am authorized by the owner of Ihis property to pedorm Ihe work for which applicalion is made and I comply wilh lhe <br />S � lrac�ors Law 1827 R�and 29Sj,200 WAC. <br />