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PkRMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVER�ri, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br />SITE ADDRESS � <br />1 �. <br />�7ZTJ � 1 v� �'�"L <br />LEGAL LOTNO. BLOCK <br />�ES� <br />������_ ��1�'3J�(Y�.�v\ <br />PARCEL TAX I.D. il <br />TRACT OR SUBDIVISION p <br />5z � � ��� � 3:�{ �� �..,�-t a <br /># <br />s�z�3 �-(Z� z�; <br />T[NANT NAME Cp ��T\AC�T� FOR PERMIT r'HONE S p`�U�� ��J �� , <br />C�6�,r/t�r f'. �JLhv'�.-� �i�CQr � <br />E•MAIL <br />T R ADDR I IZ r' <br />CONTR.UCENSEtt C� W �" � / � <br />IiSE QF BUILDING <br />HEATSOURCE <br />Electric Gas Olher <br />WORKDESCRIPTION �e��� 1;,���-``� �,� �a � . <br />JG�� <br />N0. I TYPE OF FIXTURE CR ITEM <br />Toilet <br />13ulhlu6 <br />Lavalory pvash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Oishwasher <br />Clothes washer <br />Water heater <br />Sink (service/badmop/elc.) <br />Oackflow preven;er <br />Urinal <br />Drinkiny Pountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />�0��' � � �!% 3 v <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Wa�er healer <br />Gas hreplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unil heater <br />Boiler <br />Relrigeralion <br />Woodslove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />I hereby certify �hat I have read and exnmined Ihis applicalion and know Ihe same to oe true and cor.ecl. All prcvisions of laws and <br />ordinances goveming this type of work �vill be compliec: with �vhether specified herein or nol. The grant�ng of a permit does not presume <br />�o give ��tlhority to violate or cancel Ihe provision ol any other slale er local Iaw regulaling consinic�ion or the performance o( <br />construa�on. Tha� I am authorized by Ihe owner of �his pwperly �o perfonn lhe work for which application is made and I comply wilh ihe <br />Sfale Conlradors Law 1827 FtC\N and 29G.200 WAC. � , <br />� <br />� f, ' -, � ^ fj <br />- — --- ---r- - ----- <br />1 �.lJ �-tol (� <br />3��- <br />5 <br />