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PERMIT APPLICA' <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />LEGAI.� LOT NO. BLOCK <br />DESC.� <br />OWNER <br />�3e� SeMeh� <br />TENANTNAME <br />CONTRACTOR <br />CONTR. LICENSE M <br />USE OF BUILDING <br />l2�Si�lnf'�� 1 /�~� <br />PARCEL TAX I.D. N <br />�C <br />TRACT <br />fv�i�1� �. <br />ADURESS CITY2IP <br />ICONTACT FOR PERMIT <br />ADDRESS CITY2IP <br />— HEATSOURCE I <br />Electric Gas Other <br />WORK DESCRIPTION <br />Fv// La.-po�f <br />�Oh��rf- Gbt r <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (servicelbadmop/otcJ <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />, �►,,,� <br />�'f i �-{o <br />NO. <br />5—�g-ob <br />pPERMIT N <br />L� (�o�,-Co,3 <br />5'Ir- 2�b' ��� <br />PHONE <br />PHONE <br />PHONE <br />CONTRACT PRICE OF WORK <br />3�i3��?s" <br />yt'�►%.s'vr*t. <br />� �f�(. <br />CHANICAL <br />TYPE OF FUfTURE OR ITEM <br />AIC — air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Cbthes dryer <br />Range hood <br />Exhauslfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE �S 3105 <br />I hereby cerilify that 1 have read and examined this application and know the same lo be We and correct. All provisions of laws and <br />ordinaces govern!ng lhis type of w�rk will be complied with whelher specified herein or not. The granting of a permit does not presume <br />lo give aulhorily lo violate or cancel the provision of any olher slale or local law regulating construclion or the performance o( <br />conslruclion. That I am aulhorized by lhe owner o( lhis property lo perform lhe work for which applicalion is made and I compiy with the <br />Stale Co raclors Law .27 RCW and 296.�J0 WAC. <br />/��- ,���_ �• 6v6 <br />�(� <br />