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,,y�,1 , <br />IAL LOT N0. <br />TENANTNAME <br />CONTR. LICENSE # __. <br />USE OF BUILDING <br />,��a �� <br />PERMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, VJA 98201 <br />425-257-8810 - FA:C 425-257-8857 - www.everettwa.org <br />� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 NM <br />BLOCK <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />5��0 �-i S 3`-'- /� <br />^CON(T'ACT FG(R�jPERM�IT <br />I V" /�"'�C� J ' <br />ri <br />CITYIZIP PHONE t,.t Ly _ <br />� �,,��,w��8'�3 �s�- <br />PHUNE L�.1C�"!.2)�l-4�il�ry <br />HEAT SOURCE I CONTRACT PRICE OF WOHK <br />� Eleclric _ Gas _ Olher � �'(./� , v-� <br />WOrR� ESCRIP'[ION ^ _. n_ �, �,_ /„�. :��(�,� <br />„p� 2 011� �S.aR..rnM+r,t�� � c.� �-.. <br />Q 7 <br />NO. I TYPE OF FIXTURE OR ITEM <br />f,-'�= Toilet <br />�� 6athtuh <br />1— Lavatory (wash basin) <br />Shower <br />�l Kilchen sink 5 disposal <br />i Dishwasher <br />�� Clolhes washer <br />�� Waler healer <br />Sink (serviceNadmoplelc.) <br />BacY,flow prevenler <br />Urinal <br />Drinkin� Founlain <br />Floor drain <br />Grease trap <br />Roaf drains <br />Other _ <br />NO. I TYPE OF FIXTURE OR ITEM <br />NC - air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clolhes drycr <br />Range hood <br />Exhauslfan <br />H�at pump <br />Unil healer <br />Boiler <br />Re(rigeralion <br />Woodstove <br />CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritily that I have read 2nd examined this application and know the same to be lrue and correct. All provisions of laws and <br />ordinaces gooerning this type of work will be complied wilh whether specified hercin or noL The granling of a permil does not presume <br />lo yive authority to violate or cancel the provision of any other slate or local law regulaling construction or the perTormance of <br />conslruclion. Thal I am authorized by the uwner ol ihis property to perform Ihe work for which applicalion is made and I comply wilh tl,e <br />Slate Cpnt�aclors Law 18.27 �CW and 296.200 WAC. �. �^. �_ <br />�-- --- �--- - - -- _.. <br />