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i <br />� , <br />` , PERMIT APPLICATION <br />�, CITY OF EVERETT PERMIT SERVICES <br />� 3200 C[DAR STREET. EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — �waw.everethva.org <br />SITE ADDRESS <br />:, �- �� <br />_, <br />I LCGI,t� LOTNO. <br />i U6SC � . <br />TENANTNAME <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. t! <br />��� (;i =,� C�-ti c - �> c.t;i,oc>�\C.,�, <br />� BLOCK TRACT <br />CONTRACTOR 1 �� <br />��C�1 � L-L� �\��J � � <br />CONTR. LICENSE N <br />�.'v��M�� r,t t <br />USE OF BUILDING <br />��'V�- � � ,1�_ 1 ',�1 <br />WORK DESCRIPTION <br />�� ��• ,A��\� <br />,� � � l� L �1_�,` <br />CONTACT FOR PERMIT <br />�'1r_�,'li: -� 1'i <br />�0-3o—oq <br />PERMIT k <br />` �u��o- Ls3 <br />; <br />L��� ���� c��� �I <br />CIT'121P PHONE <br />r <br />���, �.L�,-'�`;tt � ��LU"�' I <br />PNONE <br />�,d = c�IC����-�,���� � y � � - �Y�I ��" �_:� �. <br />ADORESS ��� CITYIZIP PHONE y�S��) I <br />�1�1` _, `.���t;? r.>>�. lk�;a\.���'�_ C���D `i�t�C_ I, <br />-={" ` � �� �_ �4-iQ.��i}��`t'( : , :> �I <br />� >,�_ ,_��� r.�� <br />HEAT SOURCE CONTRACT PRICE OF WORK I <br />�I �.EleUnc_Gas_Oiher �i1, 1L, ��.��.!-�� �'I <br />� �—� <br />�1�� ��C����.���A���� �-�0.v�C��.1 \�\ea`� ���it�l(�, ��\`���C��`� ���,_�'�.�: � � <br />C:�.�,�. ��'�'v�s: v�t�-lE • , �:��' �: �� <br />N0. I NPE OF FIXTURE OR ITEM <br />Toilet <br />Dathtub <br />Lavatory (wash basin) <br />Shower <br />Ktichen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Lauiidry tray <br />Sink (servicelbadmop/elc ) <br />�ackflow prevenier <br />Ur;nal <br />�nnking Fountain <br />Floor drain <br />Grease trap <br />Roof drams <br />Other <br />NO I TYPE OF FIXTURE OR ITEM <br />A/C — au handling unds <br />�C Forced art systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />� licat pump <br />Und heater <br />Boiler <br />Relnyera6on <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �. <br />I hereby centify lhat I have reaJ and examined this apphcation and know lhe same lo be true and correct All provisions of laws and <br />ordinaces goveming this lype of work will be comphed with whelher specdied herem or not The granting of a pennit does not presume <br />to grve authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construcUon. That I am aulhor¢ed by Ihe owner of Ihis nioperty to perlorm the woik for which applica6on is made and I comply with Ihe <br />Stale CoNradors Law 1ti 2i RCW an 296 200 WAC <br />;� <br />%a° , . ��"� ! ����� 3��9 <br />, ���,���—„ ��.—�� <br />