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SITE ADDRESS <br />y� r �u; <br />LEGAL LOT NO. <br />1�i rn f i5 <br />TENANTNAME <br />PEr2MIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320� CEDAR STREET, EVERETT, WA 98201 <br />425-257-b;10 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />iQ I�J` 4 <br />BLOCK TRACT <br />ADURESS ��1Y�Z�P <br />Sr��� yr� � ��, �v�..rr y8< <br />I CONTA T FOR PERMIT <br />CONTRACTOR ��� $ FW y44 �`ML <br />CONTR. LICENSE # <br />USE OF BUILDING <br />PERMIT # n �� <br />�i :� %/}�) <br />� yz�J�-� <br />ADORESS � �V� �� Lc.� S*✓WS <br />2ri7.a /T7 <br />f8L � <br />HEATSOURCE <br />_ Electric � Gas _ Other <br />WORKDESCRIPTION /�th� awT �� �ay44LQ �- <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEh1 <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kilclien sink & disposal <br />Dishwasher <br />Golhes washer <br />W aler heater <br />Smk (service/badmop/elc.) <br />Back(Iow preventcr <br />Urinal <br />Drinkinc� Founlain <br />Floor drain <br />Grease lrap <br />Roo( drains <br />Olher _ __ <br />PHONE <br />PHONE <br />yz � <br />3 S"�-Z75�' <br />CONTRACT PRICE OF WORK <br />oG <br />��6Yo� <br />NO. I TYPE OF FIXTURE OR ITEM <br />A'C — air handling units <br />Forced air systems <br />Gas piping <br />W aler healer <br />Gas fireplace <br />Gasr2ngc <br />Cbthes dryer <br />Range hood <br />Exhaust (an <br />Heat pump <br />Unit healer <br />Boiler <br />Re(rigeration <br />Woodslove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />I hereby ceritify ihat I have read and examined lhis applicalion and kno�v lhe same lo be true and correcL All provisions of laws and <br />ordinaces governing lhis type of work �vill be complied wilh whether specified herein or neL The granting ot a pertnil does not presume <br />to give authority to viclate or cancel the provision o( any other state or local law regulaling construction or the performan.,a of <br />construction. Thal I am authorized by lhe owner of lhis property to per(orm lhe work for which application is made and � comply wilh the <br />Slale Cnntractors Law i8.27 RCW and 296.200 WAC. <br />