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� � <br />P�.tMIT APPLICATIG��J <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everetriva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO � PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITEADDRE55 PARCELTAXI.D.# PERMIT� ,� <br />Ilz� t-'�uK��-t�o �VD ao5o5800croo2r.�Z L'_ L/cd �� <br />LOT N0. � BLOCK � TRAC' <br />MW���TEo <br />�FFF2"�f �k K�u.Y }�yER ,� 2�'i-au4 <br />O�.�D E���i' � $�3 <br />TENANTNAME CONTACTFORPERMIT PHONE <br />OwnJE2 <br />CONTRACTOR �VtLfJ�L <br />CONTR. LICENSE � <br />USE OF OUILDING <br />Q�2�t� bfiDlllO� <br />ADDRESS <br />HEATSOURCE <br />_ ElecMc i� Gas _ Olher <br />CITY/ZIP PHONE <br />CONTRACT PRICE OF WORK <br />WORKDESCRIPTION �j' AOD�T14ti1 f.�F I � `� �� <br />�EMClnEL_ 'T'Vh7 �ClZ�1l1JC� P.�D�oC�t+�K � �T'd <br />Q l.0��1-�GtE �i„ Pl.A1f ,�P�c� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Laundry tray <br />Sink (service/badmo{:letcJ <br />Backflo�v preventer <br />Urinal <br />Drinking Fountain <br />floor drain <br />C:rease trap <br />Roof drains <br />Other <br />nJ� IL/ <br />r, <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unitc <br />Forced air systems <br />Gas piping <br />W ater heater <br />Gas fireplace <br />Gas range <br />Clothes �:yer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrioeration <br />Wcadstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX COGE IS 3�05 <br />� I hereby ceritify that I have read and examined lhis application and know the sama to be true and correct. All pravisions of laws and <br />i ordin2ces governing this rype of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authonty to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />c strucn T��am aut� d by thg e o`vner of this property to perform the work for which application is made and I comply with the <br />' tate Contra tor aw 182 d" and 2°6.2001NAC. <br />.� l .�-- f3/s/o �� <br />��v <br />