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�. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />� <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org � JI ��! <br />l% <br />APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM - DEBIT 8 CREDIT CAR[`S ARE NOT ACCEPTED <br />SITE ADDRESS �1� PARCEL TAX I.D. # P RMIT # I <br />/-�� W/i1�OQ�NF l�/E�/ DlI. Z90S/BOOZO¢200 � .���"/ � <br />LEGAI LOTNO. BLOCK TRACT <br />DESC. <br />/�O?T OF E!/EiPETT 29//$OrVO ST. Et/E�PETT 9BZ06 <br />I TENANT NAME CONTACT FOR PERMIT <br />I I POL/ L U/S <br />CONTRACTOR <br />CONTR. LICENSE # <br />USE OF BUILDING <br />ADDRESS <br />HEAT SOURCE <br />Eleclric Gas Other <br />WORK DESCRIPTION <br />DEnvo�iSHEXiST/NG BU/LO/NG No. ¢ <br />(NALLEY 3GD6. � - <br />�IO. I 7YPE OF FIXTURE OR ITEM <br />Toilcl <br />Balhtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwashcr <br />Clo�hes washer <br />Laundry tray <br />Sink (servicelbarfmop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greasetrap <br />Roof drains <br />Olher <br />CITYI2IP <br />425-388-0603 <br />PHONE <br />4Z5-388 - 0603 <br />PHONE <br />CONTRACT PRICE OF WORK <br />NO. � TYPE OF FI%TURE OR ITEM <br />_ . NC — air handling units <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Ciothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unil heater <br />Boiler <br />Refrigeraiion <br />Woodstove <br />� <br />CI7Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I <br />� I hereby ceritify thal I have read and examined lhis application and know the same lo be We and correct. All provisions of laws and <br />ordinacas governing lhis lype of work will be complied wilh whelher specified herein or nol. The grenling of a permit does not presume <br />:o give authority to violale or cancel lhe pro�•ision of any other state or local law regulating construclion or lhe performance of <br />:onstruction. Thal 1 am e owner of lhis property to perform tha work for which application is made and I compiy with the <br />Stale Contractors l�v 1.��n�296200 WAC. <br />h <br />�,Ib,l;'S <br />