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SITE ADDRESS <br />2 � �/ �.. m <br />LEGAL LOT NO. <br />DESC. <br />TENANT NAME <br />CONTRACTOR <br />CONTR. LICENSE # <br />USE OF BUILDING <br />WORK DESCRIPTION <br />P�RMIT 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 <br />PARCEL TAX I.D. # <br />,' / l�v ���✓ <br />BLOCK TRACT <br />�� �; 260I J�� /nl-�„ r�o <br />� CONTACTFORPERMIT <br />��,��' <br />1� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Waler heater <br />Sink (servicelbar/mop/elc.) <br />Backflow preventcr <br />Urinat <br />Drinking Fountain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Other _ <br />ADDRESS <br />HEATSOURCE <br />_ Elec6ic _ Gas,�Qther <br />a --�6-0� <br />' t!�-� /� <br />PHONE <br />CITYIZIP PHONE <br />CONTRACT PRICE OF WORK' <br />�� �c� -�—_ <br />� � /� L �lL <br />N0. I TYPE OF FIXTURE OR ITEM <br />C <br />� <br />� <br />� <br />A/C — air handling unils <br />Forced air systems <br />Gas pipin� <br />Water heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaust tan <br />Heat pump <br />Unit heater <br />Boiler <br />Re(rigeration <br />Woodslove <br />Other <br />CITY OF tVERETT LOCAL SALES TN( GODE IS J705 <br />I hereby ceritify thal I have read and examined Ihis application and know the same to be lrue and correct. All provisions ot laws and <br />ordinaces goveming Ihis type of work will be complied wilh whelher specified herein or noL The granting o( a permit does not presume <br />lo give aulhorily to violale or cancel the provision of any other stale or local law reguialing construction or lhe pertortnance of <br />construction. That I am authorized by the owner o( this property to perform lhe work for which application is made and I comply with the <br />Slale Con(raclor�w 1827 RCV1f,and 29G.200 WAC. <br />%- � �� / l /�/f�l' <br />OwnedConlractor horzedAaenl D� ' <br />/Z <br />