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P�RMIT APPLICATIC�N <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 />SITE ADDRESS <br />6�� <br />LEGAL LOT 40. <br />DESC. <br />�I�GAv I,,i/�A3Y <br />TENANTNAME �r <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />BLGCK � TRACT OR SUBDIVISION # <br />CONTACT FOR PERMIT <br />PERMIT # <br />� <br />� E-MAIL <br />�}��'?MiG l�Pi.vb � <br />CONTR. LICENSE ll <br />,� Taioq �s 6�y-��a�s <br />bYNAM R �`9Na'i'S y3oi .4wur�:x �o �v� �?Ev�i�.�, tr„o <br />USE OF BUILDING <br />WORK DESCRIPTION <br />NO. <br />/ 1 F� — <br />:7I�C�3 <br />TYPE OF FIXTURE OR ITEM <br />Toilel <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Watcr he2lcr <br />Sink (serviceNadmop/elc.) <br />Backflow preventer <br />Urinal <br />Drinkinc� Founlain <br />Floor drain <br />Grease Irap <br />Roo( drains <br />Other <br />HEATSOURCE <br />_ Eleclric _ Gas _ Other <br />PRICE OF WORK <br />YJ <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas firepiace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhauslfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />i hereby cerilily that I have read and examined lhis application and know Ihe same to be true and correcL All provisions o( laws and <br />ordinacos governing th�s type o( work will be complied wilh whelher specilied herein or noL The granting ot a permit does not presume <br />u �ivr aulhority to violate or cancel Ihe provision of any other stato or local law regulating construction or the pertormance of <br />coosudcli n. Thal I am aulhorized by lhe o�cner ef lhis property to perform the work lor �vhich application is made and I comply with ihe <br />State ac rs Law 78.27 W an 296.200 WAC. <br />a .,�.fan , t�`� "�� �� <br />