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PERMIT APPLICATIUN <br />CITY OF EVE�ETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, 4UA 98201 <br />425-257-8810 - FAY. 425-257-8857 - www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />�. �.� �-. -� <br />LEGAL LOT NO. BLOCK <br />DESC. <br />OWNER <br />,-- <br />t 1 i11,, c�1\�\`T� \��` Y-:��Y��i\ <br />PARCEL TAX I.D. # <br />TRACT OR SUBJIVISION p <br />+i <br />TENANT NAME 1 CONTACT FOR PERMIT PHONE <br />�I i � I-�� E•MAIL <br />CON/RF� TOR AU�R 55 ITY/ZIP <br />�'� <br />COATR. LICENSE p � �����`� <br />USE OF BUILDING <br />HEATSOURCE <br />Eleclric Gas Oiher <br />WORK DESCRIPTION <br />� � ,��_�(� , � <br />C��11�� �?" �•' l l\ �_ <br />PLU:NBING <br />NO. I TYPE OF fIXTURE OR ITEM <br />Toilel <br />Oalhlub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink S disposal <br />Dishwasher <br />Clolhes washer <br />W aler heater <br />Sink (serviceNadmop/etc.) <br />6ackflow prevenler <br />Uriral <br />Drinking Founlain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Olher <br />NO. <br />.. a�.-o� <br />PERMIT # <br />��o� 03 �3u <br />•��`J �I`$-�I6�1 <br />CONTRACT PRICE OF WORK <br />TYPE OF FIXTURL= OR ITEM <br />A/C — air hacdling units <br />Forced air s�stems <br />Gas piping <br />Waler healer <br />Gas freplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Cxhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigerelion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify lhat I have read and examined this applicalion and know the same to be Irue and correcL AII provisions o(12ws and <br />ordinaces governing ihis type of work will be complied wilh �vhelher specified herein or nol The granling of a permit does not presume <br />l0 9ive aulhorily lo violate or cancel ihe provision u( any olher st2le or local la�v regulating censtruclion or the performance o( <br />conslrur,tion. Thal}I am aulhorized by Ihe owner o( lhis property lo periorm lhe work for �vhich applicalion is made and I comply wilh lhe <br />SlataGontraclors Gaw 18.27 RCW and 29G.200 WAC. , <br />