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P�RMIT APPLICATIC�N <br />CITti' OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />, �� � C� n„/�1�425-2�7-8810 - FAX 425-257-8857 - www.everettwa.org <br />1�f' f��/ <br />APPLICATIONS ARE ACCEPTED FR0117 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE A qDRES n,� 1- PARCEL TAX I.D. # PERMIT # <br />j��w,(���Ja� \,\u,`�� ���v o050,�0000 2�...0 � �cj��-CXc <br />LEGA LOTNO. BLOCK TRACT1- `_ 1� Q1 <br />DESC. �,.,� �0.P"� `li\��l S ��v 2' �JVIL O�—�'OI <br />01- Uf �1 <br />TENANTNAME <br />N / P. <br />CONTRACTOR <br />CONTR. LICENSE # � I � <br />USE OF BUILDING <br />���b\;` ���:1; <br />3002. Wa.�pt� �%►� �.J��� <br />CONTACT FOR PERMIT <br />�.�c�l � �—�� � � �� <br />ADDRESS <br />. <br />�c� e� <br />� ` I \ HEAT SOURCE <br />, � �-� <br />_ Electric _ Gas _ Other <br />PHONE <br />C�15� �59- �!-� <br />PHONE <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION � <br />��/1�OVc2�.tG�v �C�� ,�QL2l-Ci ��'��/�/�JG(.t <br />� ( �.. <br />PLUMBING MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITF.M NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />62lhtub <br />_ Lavalory (wash basin) <br />_ Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />_ Laundry lray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinkinc� Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Olher <br />A/C - air handling units <br />Forced air systems q • <br />Gas piping n /�� <br />Waler heater �- � / V �iQ� <br />Gas fireplace � <br />Gas range �� <br />Clothes dryer / <br />N / � _ Range hood � � <br />Exhauslfan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodslove <br />Other <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS J105 <br />I hereby cerility lhal I have read and examined this application and know the same to be true and correcl. All provisions of laws and <br />ordinaces governing this typo of work will be complied with whelher specifieri herein or not. The granting of a permit does not presume <br />to give aulhority to violate or cancei lhe provision of any other state or ioral law regulating constructlon or lhe pedormance of <br />conslruclion. Thal I am aulhorized by the owner of this property lo perform lhe work for which application is made and I comply with the <br />Slate Co�tractors Law 18.27 RCW and 296.200 WAC. <br />�\���o� <br />