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P�tRMIT APPLICATIC�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-8810 — FAX 425-257-8857 — vwvw.everettwa.org <br />SITE ADDRESS <br />,� 7 �"1�r� <br />LEGAL LOT N0. � <br />DESC. <br />OWNER <br />�<� o � �,JP �e <br />TENANTNAME <br />��l���G <br />aaur�At <br />GQ f�N�� ( o.t: <br />CONTR. LICENSE �I <br />USE OF BUILDING <br />� U% �� . I �� � <br />WORK DESCRIPTION <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />PARCEL TAIC I.D. A <br />TRACT OR SUBDIVISION N <br />CONTACT FOR PERMIT <br />[/�P P�'.� <br />�� ����� <br />HEATSOURCE <br />�n Eleclric Gas _ Other <br />�' 1 - - <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />W alar hoaler <br />Sink (sorvice/barlmop/elc.) <br />BackOow prevenfer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. <br />PHONE <br />y�-3�s ss��� <br />CONTRACT PRICE OF WORK <br />TYPE OF FUfiURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range haod <br />Exhaust (an <br />Heal pump <br />Unit healer <br />Boiler <br />Reirigeralion <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify lhal I have read and examined this applicalion and know lhe same to be true and correcl. All provisions of laws and <br />ordinaces governine� this type of work will be complied with whether spocified hetein or nol. The granling o( a permil does not presume <br />to give authorily to violale or cancol the provision of any other stale or local law regulating consiruclion or lhe pedortnance o( <br />conslruction. That I am authorized by lhe owner of lhis property to peAorm the work for which applicalion is made and I comply with lhe <br />a Contractor. �a 1 fZ7 CW and 296.200 WAC. l/ ( <br />_ c i `�%aCiL� _ � �..Z7 ��G <br />