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P'LRMIT APPLICATIRA <br />SERVICES <br />CITY OF EVERETT PERMIT SE <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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />I P,4RMIT <br />SITE ADDRESS / <br />PARCEL TAX I.D. p I� (� I / _a <br />o,.:" ;t ni-1 <br />LOT NO. <br />BLOCK I TRACT <br />DEFC. <br />H3S- aZ5�;' - <br />n 2 w ✓/ /' <br />l/ �'Y [J F✓NJ / L' .S_L �L PHONE <br />CONTACT FOR PERMIT <br />TENANT NAME _ <br />CITYFLIP PHONE <br />CONTRACTOR CVjo91/Ti' <br />CONTR. LICENSE # <br />USE OF BUILDING <br />ADDRESS <br />QUA/."it .1 `� %��OF WORK <br />HEAT SOURCE CONTRACT PRICE <br />Electric _Gas_ Other <br />WORK DESCRIPTION <br />7 n ct RL �� f'Crd'% /� P pE'GGt S o i`'"•"� <br />f A/0 G f% YQ L <br />NO, I TYPE OF FIXTURE OR ITEM <br />_ Toilet <br />_ Bathtub <br />_ Lavatory (wash basin) <br />_ Shower <br />Kitchen sink 8 disposal <br />_ Dishwasher <br />_ Clothes washer <br />_ Laundry tray <br />_ Sink (service/barlmop/etc.) <br />_ Backflow ?reventer <br />_ Unnal <br />_ Drinking Fountain <br />_ Floor drain <br />_ Crease trap <br />Roof arains <br />=I Cther �— <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C —air handling units <br />Forced air systems <br />_ Gas pipinq <br />_ Waterheater <br />_ Gas fireplace <br />_ Gas range <br />_ Clothes dryer <br />_ Rang, )d <br />_ Exhaust fan <br />_ Heat hump <br />Unit healer <br />_ Boiler <br />_ Refrgeration <br />Woodstove <br />CITY OF EVERETT LOCAL. SALES TAX CODE IS 3105 <br />a to be e and correct. <br />visions of <br />ws and <br />I hereby centify that I have re of work examined <br />ambe this applvHation herrj know the sam, specified herein or not. The g anting of llpeorm t does no, presume <br />nce of <br />ordinates governing this type with th <br />to give authority to violate or cancel the provisior. of any other state lthevwork for wh which application is madeoandal comply <br />State Conion *tractors sThatI am authorized by the owner of this Law 18.27 RCW and 296.200 WAC. property perform <br />Date <br />P <br />