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SITE ADDRESS <br />� `I I �; <br />LEGAL LOTNO <br />�ESC <br />P�.��IVIIT APP�IC�4T1�,� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERErT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM E AM TO 4 PM <br />� <br />IC Ol�-e�-�1 l✓ <br />BLOCK <br />PARCEL TAX I.D. .V <br />TRACT OR SUBDIVISION # <br />I��L�; � I�tiw���1�� zz�s' E. Wo��}b�,� <br />7ENAN7'NAME <br />�� �a����w���� <br />C NT ACTOR <br />C�w +���Q�.-- <br />CONTR. LICENSE p <br />USE OF BUILDING <br />� 1 -�'�N+t4 <br />WORK DESCRIPTION <br />T,� �-- � c:�� <br />1 <br />CONlACT FOR PERMIT <br />l(��c� �� ���, <br />HEATSOURCE <br />Electric � Gas _ Other <br />�e-5��e2� �e ��G� <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />_ Tcilet <br />�athtub <br />Lavalory (wash basin) <br />Showcr <br />I<itchen sink & disposal <br />Dishwasher <br />Clethes washer <br />Waler hea�er <br />Sink (servlce/badmop/e�c.) <br />f3nckllo�v pieventer <br />Urinal <br />Dnnking Fountain <br />Floor drain <br />G��ase lrap <br />Roof drains <br />Other <br />PERMIT # <br />), 3Cx-�-3z�-���C� � <br />PHONE <br />E�MAIL <br />PHONE <br />CONTRACT PRICE OF WORK <br />w ; ��� �-��,�1 <br />MtGNAN'�:AL <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced atr syslems <br />Gas piping <br />Watcr heater <br />Gas 6ieplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaust lan <br />Ncat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />II hereby cerlify lhat I have read and examined Ihis applicahon and know the same to be true and wrrecl. All provisions of laws and <br />ordinances c�overning Ihis type of work will be complied with wl�iether specfizd herein or not. The granling ot a permil does nol presume <br />� to give authority lo violale or cancel Ihe provision of any other sla�e or local law regulaling conslruction or the periormance ol <br />ccnsiruction. That I am authorized by lhe owner of Ihis property to perform lhe work (or which application is made and I comply wilh the <br />Slale Contractors Law 1827 RCW and 29G.200 WAC. . <br />��ti-w, �1� �:�.�'�--- .� /C� <br />'I SignaWre of Owner/ConlractodFluthorized Agent ale <br />0 <br />