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SITE ADDRE55 <br />� � y�'.'.. <br />LEGAL LOT NO. <br />DESC. <br />TENANTNAME <br />CONTRACTOR <br />CONTR. LICENSE il <br />11SE OF BUILDINC <br />WORK DESCRIPTION <br />SYf� <br />P�RMIT APPLICATION <br />C!TY 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 .4CCEPTED FROM 8 AM TO 4 PM <br />PARCEL TFU( I.D. if — <br />BLOCK TRACT <br />ADDRESS CITYIZIP <br />�1� Iva�t;� !�/Jl�`Sfi�'S �lS llt�M Sf .Y JiJ� <br />� CONTACT FOR PERMIT <br />NO. I TYPE OF FIXTURE OR ITEM <br />Tailet <br />Balhlub <br />Lavatory (wash basin) <br />Shower <br />I<ilchen sink 8 disposal <br />Dishwasher <br />Clolhes �vasher <br />WaLr healar <br />Sink (servicel�ar/moplelc.) <br />Backllow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof diains <br />Olher <br />ADDRESS <br />HEATSOURCE <br />_ Eleclric _ Gas _ Other <br />CITYIZIP <br />PERMIT(i �/n % <br />� i �L <br />PHONE yo25 jL'�T <br />C-;� f_=,.��c1�3y�9 <br />PHONE <br />PHONE <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />AIC – air handling units <br />Forced air syslems <br />Gas pipinc� <br />W ater heater <br />Gas fireplace <br />Gas range <br />Cbthes dryer <br />Range hood <br />Exlaust fan <br />Hea;pump <br />Unit healer <br />Boiler <br />�efrigcralion <br />^ N'oadstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3f05 <br />I hereby ceriti(y thal I have read and examined ihis applicalion and know ihe same to be true and correct. All provisions o( laws and <br />ordinaces c�overninp ihis type of work will be complied wilh whether specified he:ein or noL The granting o( a permit does not presume <br />to give authorily lo violale or cancel the provision of any olher stale or local law regulating construction or the pettormance o( <br />conslruclion. Thal I am aulhorized by lhe owner of this property to perfonn lhe work tor which applicalion is made and I comply wilh ihe <br />Slale Conlraclors L� N 1827 RCW and 296200 WAC. <br />--� . .—. / /��� Vi' f�' ��li <br />