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PERMIT APPLICATION <br />CITY 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 ACCEPTED FROM 8 AM TO 4 PM <br />T�j ADDRESS � ,�(� <br />Cl"����-- � � � <br />LEGAL LOTNO q BLOCK <br />DESC. �� � �s` po7 <br />OWNER <br />H uN� V �uo���C- <br />TENANTNAME <br />SR/� lE <br />CONTRACTOR <br />CONTR. LICENSE p <br />USE OF BUILDING <br />WORK DESCRIPTION <br />D�.J,^.�%—/ <br />PARCEL TAX I.D. # <br />PERMIT 1{ <br />,. <br />� . � ! <br />TRACT <br />�o�vEcc Div �}' FLA7- 0 F BU< Go7 D-ov <br />ADDRESS CITY2IP PHONE <br />L},c>2:.2 ��' —�f� f���F t l/tk'�� �j�'20� y'LS� 25F�j7 <br />CONTACT FOR PERMIT PHONE <br />� G� ti��� <br />ADDRESS CITYIZIP PHONE <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />_ Eleclric _ Gas _ Other � �0 (� <br />/Zoc� FcF- (i�c, licck <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />_ Balhlub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />_ Walcr heater <br />Sink (servicelbadmoplelc.) <br />8ack0ow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greasc trap <br />Roof drains <br />Other <br />;��' � Z�� <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas tireplace <br />Gas renge <br />Clothes dryer � )/� <br />Fange hood � <br />Exhausltan <br />Heat pump <br />Unit healer <br />Boilcr <br />Refrigeralion <br />Woodslove <br />CIN OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby cerilify that I have read and examined this application and know Ihe same lo be lrue and correct. All provisions of laws and <br />ordinaces governing this type o( work will be complied wilh whelher specified herein or nol The c�ranling of a permit does not presume <br />to give authoriry to violate or cancel lhe provisior of any other stale or local law regulaling construction or lhe pedormance of <br />construction. That I am authorized by the owner of this property to perlorm lhe werk (or which application is made and I comply with ihe <br />Stale Contrac�ors Law 1827 RCW and 296.200 WAC. <br />-lri� �Uti % 7'��l'�C. <br />Signalu e of w�edContrac�d Agent Date `/ �� <br />L <br />