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SITE ADDRESS <br />c.� �� �) <br />LEGA l0T NO. <br />DESC. <br />PERMIT APPLIGATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM /� _a n— <br />PARCEL TAX lD. # PERMIT tt <br />� �'l%lZ —� <br />BLOCK TRACT OR SUBDIVISION N <br />� f / q <br />� J� C'r "I � �li -t 1.,�L�� �! ����� ��-� �� � E'ut H- -�l�i�-C�.� 3S� /e-� <br />TENANT NAME CONTACT FOR PERMIT F'HONE <br />E-MAIL <br />�`�FjT�A�F6 �ST Y P <br />� ,� IJ- Y`!Q� <br />CONTR. LICENSE A <br />USE OF BUILDING <br />WORK DESCRIPTION <br />NO. I TYPE OF FI%TUR[ OR ITEM <br />Toi�el <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (servi�e/bar/mop/etc.) <br />�ackflow pre.•=nler <br />Urinal <br />Drinking Fountain <br />floor droin <br />Grease trap <br />Roof drains <br />Olher _ <br />HEATSOURCE <br />Electric Gas Other <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />�_ Gas piping <br />Water healer <br />� Gas fir�olace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaus� fan <br />Heat pump <br />Unil heater <br />Boiler <br />Revigeration <br />Woodstove <br />_ Other_ _ <br />CIN OF FVER[TT LOCA� SALES TAx CODE IS J105 <br />I hereby certify ihat t have read and examined Ihis application and know ihe same to be Irue and wrrecL All prcvisions of laws anA <br />ordinances goveming Ihis type of work will be complied with whe�her specified herein or noL The granting of a permit does no� presume <br />�o give authori�y lo violafe or cancel the provision of any other siate or local law regulating conslruction or the pertormance of <br />construction. Thal I am authorized by the owner of �his property to peAorm ihe work for which application is made and I wmply with the <br />Sta�e Contrac�ors La 16.27 RCW and 29G2 V�R6.� <br />q7 �/ <br />`if�G—�i..L-> �,�,sl_ %�' , i-�./ �Z`�G"�(�' <br />