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SITE ADDRESS <br />Z L� <br />LEGAL LOT N0. <br />DESC. <br />OWNER <br />G�� / <br />TENA4T AME <br />O /�� � <br />PEhtMIT 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 />� C70 <br />TRACT <br />� � <br />� <br />CONTACT FOR PERMIT <br />.a r <br />Sv <br />-�- ,v - se�,. �. <br />PHONE <br />� <br />CONTRACT ADDRESS GITY/ZIP PHONE <br />llp�OVC'1�c3�� ^'Si— , v. '��3x LD/ S�LS-33�` SZ �3 <br />CONTR. LICENSE p '�N �J <br />�/A,�c� ✓mc.—�j�'-�.T �. �ar�o'��5�-;v�,� . 9�z`3/-c�a <br />IISE OF BUILDING � HEAT SOURCE I CONTRACT PRIGE OF WORK <br />WORK DE CRIPTION <br />� v,-� � L i'� c�o ,� <br />N0. <br />i:n.�� <br />TYPE OF FIXTURE OR ITEM <br />Tailel <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (servicelbadmop/elc.) <br />Backflow preventer <br />Urinal <br />Drinkinc� Founlain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Other <br />Electric Gas Olher <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas p'ping <br />Water heater <br />Gas fireplaca <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Re(rig�ration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby ceritify that I have read and examined this applicalion and know the same to be true and correcL All provisions of laws and <br />ordinaces goveming this type of work will be complied with whether speci(ied herein or noL The granling of a permil does not presume <br />to give aulhorily lo violale or cancel the provision of an other tale or local Iaw regulating construclion or the peAormance oi <br />conslru� . Thal� aul� ed by th o ner of th' ro lo perform the work for which applicalion �s made and I comply with lhe <br />Stale o raclors Law 18.2 CW a 29 .200 W . <br />�L-, G' �a-, 3--I 7 - � <br />