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SITE ADDRESS <br />LOT NO. <br />DESC <br />PcRMIT APPLICATIGN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. p <br />BLOCK I TRACT OR SUBDIVISION # <br />PE � I��� � <br />S63uNi4 �o•„(JS�I.� fJ�o�% I�-v�-C.G'�Cl,C'� M�./ �ZS^3��N�'T� <br />TENANTNAME CONTACTFORPERMIT PHONE <br />S�-M � I E-MAIL <br />�krocE C�►s,v�,5�ca �c— <br />CONTR. LICENSE p <br />E�1foLEC+m�o'77 �T' <br />USE OF BUILDING <br />WORK DESCRIPTION <br />�b .aac �ay <br />HEAT SOURCE <br />_ Eleciric � Gas _ Olher <br />(�Uhi 'izvo �145 �INL�S � E�C�STTN� r'1A5 <br />µErsrZ nnsrw�i �ixp �� 5•E �� Nov' U <br />NO. I NPE GF FIXTURE OR ITEM <br />l uilcl <br />6alhlub <br />Lavatc�y (wash basin) <br />Shower <br />Kitchen sinh & disposal <br />Dishwasher <br />Clothes washer <br />Watcn c�aler <br />Sinh (service/badmop/elc.) <br />6ackllow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Greasc irap <br />Roof drains <br />Other <br />(y 2,t�tlw,yaQ P�iZ$''7i(�—�iE+9�'i <br />CONTRACT PRICE OF WORK <br />!�•O{7 <br />M ErG,c_ .N��+v r Fi�4 �-o N6*� Z <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C -- air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas lireplace <br />Gas range <br />Cbthes dryer <br />Rangohood <br />Exhausl tan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodslovo <br />Other A!E'�EL <br />t.�trto <br />CITY OF EVERETT LOCAL SALES TAX CODE IS �105 <br />I hereby ceritify Ihat I have road and examined this application and know the same to be Irue and correct. All provisions of laws and <br />ordinaces goveming ihis rype of work �vill be complied with whelher specified herein or no�. The granling oi a permil does not presume <br />to give aulhorily lo vielate or cancel the provision ot any other state or locat law regulating consWclion or the poAormance of <br />construclion. That I am aulhorized by the owner o( lhis properly to periorm ihe work for which appiicalion is made and I comply with the <br />State Coniractors Law 16.27 RCW and 296.200 WAC. <br />"�'YI��.,. �(��/-r� /ol�� � <br />