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P�.RMIT APPLICATIG�J <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREI�', WA 98201 <br />425-257-8810 — FAX 425-257-8857 — �nnvw.everettwa.org <br />`7 � ad -05 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />�� � <br />LEGA JLOTNO. <br />>r�1 ��l,l"= <br />I:7S�ZN i <br />TRACT <br />PARCEL TAX I.D. # <br />PERMIT p <br />^?�D So � —�� <br />S�a'����F�� �v.\�- ��-�i�, �� �3�d CuC�-�r�ac�, �1.�a5�aa�� <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />�`� I-�l �j ) i� ���I� ��� ��i��/7��L <br />CONTRACTOR ADDRESS CITY/ZIP PHONE <br />CONTR. LICENSE # <br />USE OF BUILDING <br />WORK DESCRIPTION <br />���- ���"���� �������-��— <br />NO. I NPE 0� FIXTURE OR ITEM <br />Toilel <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Ki�chen sinlc 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/badmoplelc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Olher �F4'+3�'= <br />� ��/! )�_ <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />Electric Gas XOther <br />NO. I TYPE OF FIxTURE OR ITEM <br />A/C - air handling unils <br />� Forced air syslems <br />Gas pipin� <br />Waler healer <br />Gas fireplace <br />Gas ranoe <br />Clolhes dryer <br />Rzngehood <br />Exhauslfan <br />Heat pump <br />Unit healer <br />8oiler <br />Refrigeration <br />Woadstove <br />CIN OP EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify lhat I have read and examined lhis application and know the same lo be lrue and correcL All provisions of laws and <br />ordinaces governir,g ihis type of work will be complied wilh whether specified herein or nol The grenting of a permit does not presume <br />to give aulhority to violale or cancel lhe provision of a�y olher state or local law regulaling wnsWclion or Ihe performance o( <br />conslruction. That I am aulhorized by the ov.�ner of lhis property to perfortn lhe work for which application is made and I comply with the <br />Stale Conlraclors Law�t6`�L7,RCW and 296.200 WAC. , , <br />