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SITE ADDRESS <br />�O � <br />LEGAL LOT NO. <br />DESC. <br />PcRMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREn, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />�a <br />APPLICATION3 ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />t a�. f--H�i v�.ct a( �r/y-- <br />TENANTNAME I <br />CONTRACTOR <br />CONTR. LICENSE # <br />USE OF 3UILDING I <br />WORK DESCRIPTION <br />9 I } <br />�-C � � C.i J ln -Q ``� S , <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />PARCEL TAX I.D. # <br />- 3 .�� iLo ZE <br />TRACT <br />�..�., "� <br />CONTACT FOR PERMIT <br />2� ��� <br />ADDRESS CITY/ZIP <br />HEATSOURCE <br />_ Electric _ Gas _ _ Other <br />�'� �' �t G a r,�., , <br />P. MIT# <br />/ C. �3 <br />PHONE <br />f// � _ <br />PHONE <br />�l- /J2� <br />PHONE <br />CONTRACT PRICE OF WORK <br />HL <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas (ireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unil healer <br />Boiler <br />Re(rigeration <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify lhal I have read and examined lhis applicalion and know tha same lo be true and correcL All provisions o( laws and <br />ordinaces governing this type of aork will be complied wilh whelher specified herein or not. The granting o( a permit does nol presume <br />to give authoriry lo violate or canr,el lhe provision of any olher state or local law regulaling construction or the performance of <br />construction. Thal I am aulhorized by lhe owner of this properly lo perform lhe work tor which application is made and I comply with lhe <br />Stale Contraclqr� I.aw_1827 RCW�fand 296.200 WAC. _ <br />�S��S <br />� <br />, <br />� ----- - -- <br />