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r�RMIT APPLICATiuN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org -] � �� V� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />SI7E ADDRESS <br />� � <br />LEGAL LOT N0. E <br />DESC. I <br />OWNER <br />I � <br />�� „-r I.c�i� <br />TENANTNAME <br />N�� � <br />CONTRACTOR <br />CONTR. LICENSE # <br />I <br />USE OF BUILDING <br />PARCEL TAX I.D. # <br />CONTACT FmR PERMIT <br />. �, N� . <br />ADDRESS <br />,`,� .' , <br />. �. <br />� <br />HEATSOURCE <br />� Electric _ Gas _ Other <br />CITY2IP PHONE <br />' ' � <br />'� <br />•• <br />CONTRACT PRICE OF WQRK <br />WORK DESCRIPTION J , � � <br />J .f� I J p <br />CUNS�iI�G\��N CIG��Vi1�t:l W� �,I ro�`v�C� � LUNS�f�.c-t�t++l u%� CL �O� � <br />�e�a�ck.� Cjdvccc � <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathlub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />BackOow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />NA <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gasrange <br />Clo�hes dryer A I /, <br />Rango hood ) V t'1 <br />Exhaust tan <br />Heat pump <br />Unit heater <br />Baiier <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify lhat I have read and examined this application and know the same lo be We and correct. All provisions of laws and <br />ordinaces governing this type of work will be complied with whether speci(ied herein or nol. The granting of a permil does not presume <br />to �ive au���o v� te or ancel the provision of any olher state or local law regulating construction or the performaace ot <br />conslructi at � a au rized by lhe owner of lhis property lo perform lhe work for which application is made and I comply wilh the <br />Stale Co ors L+ 1 7 RCW and 296.200 WAC. <br />. <br />C -?C - C�� <br />