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SITE ADDRESS <br />LEGAL �T O. <br />��A � ���� <br />ANT NAME <br />CONTRACTOR <br />CONTR. LICENSE it <br />USE OF BUILDING <br />PLRMIT APPLICATIl�1N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 g�!0 -0,6 <br />425-257-8810 — FAX 425-257-8&57 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />�iY%�C-�i �.C�I�IJ <br />BLOCK TRACT <br />WORK DESCRIPTION <br />CONTACT FOR PERMIT <br />ADDRESS <br />%�..iA hLI�G� f: t <br />HEAT SQURCE <br />�ElecUic _ Gas _ Olher <br />���1/�/jC. ('�iGl/i(,,C.� <br />J <br />PLUiVIBING <br />-��� � � r t t�-�y.. ��_�. <br />N0. ; 1YPE OF FIXTURE OR ITEM <br />Toilet <br />Balhlub <br />Lavalory (wash basn) <br />Shomer <br />Kilchen sink & disposai <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/badmop/elc.) <br />Back(low preventr.r <br />Urina� <br />Drinking Fountain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Olher <br />PERMIT #/ <br />'Ui L/G.� - �� <br />PHONE <br />CITY2IP PHONE <br />CONTRACT PRICE OF WORK <br />� ` <br />I/_ �-1 ./ <br />NO. I TYPE OF FIXTU12E OR ITEM <br />NC — air handling units <br />� Forced air systams <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas rangc <br />Clothes dryer <br />� Range hood �/ <br />Exhausl (an //�(�',,,1/ �� �r�f <br />� Healpump ' 1,.� /C�L <br />Unit heater !' ` <br />Boil�r <br />Refrigeralion <br />Woodslove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correcL All provisions of laws and <br />ordinaces c�oveming this rype of work �vill Le complied �vilh whether speci(ied herein or noL The granting of a pemiit does not presume <br />to give aulhorily to violale or cancel the provision of any olher stale or local law regulatin� consWclion or lhe performance o( <br />construction. That I am aulhodzed by the owner of this property to perform the work for which application is made and I comply with lhe <br />Stale Contr�clors Law 18.2� RCW and 29G200 WAC. <br />l � . . �i i�i �� � . <br />