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SITE <br />DESC. <br />PEF2MIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERFTT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — ww.everettwa.org <br />APPLICATIONS ARE ACCEPT[D FROM 8 AM TO 4 PM <br />tt�� / � �/ <br />�" � �� /�i'Ci /=y/i � <br />LOT NO. BLOCK TRACT <br />ADORE <br />. : ' '' � ��fy� . <br />.�,r�i) L.tnff:✓.i /`'/-t,f�/t= <br />TENANTNAME � <br />CONTRACTOR <br />CONTR. LICENSE p <br />USE OF BUILDING <br />�O/J� <br />WORK DESCRIPTION <br />�f��r �'� x i� <br />PARCEL TAX I.D. # <br />CONTACT FOR PERMIT <br />A�DRESS <br />HEATSOURCE <br />� Eleclric _ Gas _ Gther <br />��y..i� 5 � ,jf�Ff.�f> <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 3 disposal <br />Dishwasher <br />Clathes washer <br />Water heater <br />Sink (servicelba�/mop/etc.) <br />Backfiow prevenlcr <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Root drains <br />Other <br />PERMIT # <br />Ca(cU(n-o <br />�� �</ /V� �%[/ %� �-•- <br />PHONE <br />CITYIZIP PHONE <br />CONTRACT PRICE OF WORK <br />p0 <br />/Ly: <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />W ater heater <br />Gas (ireplace <br />Gas renge <br />Clothes dryer <br />Range hood <br />Exhausl (an <br />Heal pump <br />Unit heater <br />Boiier <br />Refrigeration <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />I hereby ceriti(y thal I have read and examined lhis application and know lhe same lo �e true and coRecL All provisio��s ot laws and <br />ordinaces governing this typu o( work will be complied �vith whether speci(ied herein or not. The granting of a permil does not presume <br />ro c�ive aulhoriry lo violale or c2ncel the provision of any other state or local law regulaling conSWclion or lhe performance of <br />conslruction. Tha�-1 �am authorized by the owner of this pmperty lo perform the work for which applicalion is made and I comply wilh the <br />Slate Conlraelofs Law 18.27RCW and 2�8%.2 O,WAC. .� <br />•.• /" _ �%��� �� ,�i-�:..�(.�= l ,;. �- ,,� ; ' �/Y" <br />Suyfalure of O f�DAI� tot !hor¢ed Agenl Dal�' <br />.i <br />