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SITE ADDRESS <br />PERMIT APPLICATI�iV <br />CITY OF EVERETT PERMIT SER'VICES <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� CL'�j� <br />PARCEL TAX I.D. # <br />LOT NO. I BLOCK I TRACT OR <br />OWNER ADDRE55 CITY/ZIP PHONE Lub Ur //� C7 <br />Nri�pL ���� s c.�� ZZiS /�i/G��iLANk% RvE, ��u,���,i �� <br />TENANTNAME I CONTACTFORPERMIT PNONE <br />� !) E-MAIL <br />O TRACT R/�`I� I3�Q5. LG-G ADDR S ZZ/6 NIG/��� I IP <br />CONTR. LICENSE # <br />faoiz 9ez� I aoC� -b�7-U zz� <br />�oZ- 781-oos- I /��"e��i w�q <br />USE OF BUILDING <br />WORK DESCRIPTION <br />�l�� /�%1SG ' <br />NO. I TYPE OF FIXTURE OR ITEM <br />,� Toilet <br />� Balhlub <br />,� Lavalory pvash basin) <br />� Shower <br />� Kilchen sink & disposal <br />�_ Dishwasher <br />J_ Clolhes washer <br />�_ Water heater <br />_� Sink (service/badmop/elc.) <br />Back(low prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Rool drains <br />Other <br />HEAT SOURCE <br />_ Eleclric � Gas __ Other <br />CONTRAC7 PRICE OF WORK <br />r�i <br />2���// <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C – air handlinc� unils <br />Forced air syslems <br />Gaspiping �fll <br />Water healr.r <br />Gas lireplace <br />Gasrange <br />Clothes dryer <br />Fange hood <br />Exhaust fan � <br />Heat 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 ceritify ihal I have read and examined this application and know lhe same to be true and correcL All provisions o( laws and <br />ordinaces c�oveming ihis type of work will be compiicd wilh whether speci(ied herein or not. The granting of a permit does nol presume <br />to give authoriry to violale or can I the provision ot any olher stale or local law regulatinc� construction or lhe peAormance o1 <br />constr� lion. That I am authori d he o�vner ol this property to periorm lhe work for which applicalion is made and I comply with the <br />Stale ¢ontraclors Law/18.2 � 296.2001NAC. <br />z� �- o <br />�/z <br />