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l ( <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-8810 — FAX 425-257-8857 — wuvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM l, '�O (9 ' <br />��.vl�/IA-2 LL-( 36�� 2�i4�+�r �b ��+if,TTx� h � 36a -�ol <br />TENANTNAME <br />�J � <br />i 4�W., ZNc. <br />CONTR. LICENSE t��C v=, � ��l ^ � <br />(X <br />USE OF BUILDING <br />,/�vU�V� ��� I <br />CONTACT F�OrR PERMIT <br />Ai �R l.,� Z�I..�S <br />a4� �ac��,N��. <br />HEATSOURCE <br />_ Electric _ Gas _ Other <br />9- <br />�1�� I 12i�� <br />4'tS-��� �S3'z <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION ��o �\r1uV J� � � SI't..L �T=1� /�'t% � ('V � i 1 A.� G iL4laf' <br />y��� �Q2 �11A I`�i <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Waler heater <br />Sink (service/bar/mop/elc.) <br />BackFlow preventer <br />Urinal <br />Drinking Fountain <br />Flcor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryor <br />Rangehood <br />Exhaustfan <br />Heal pump <br />Unit heater <br />Builer <br />Refrigeratlon <br />Woodstove <br />Other <br />CITY OF EVERETT IOCAL SALES TAX CODE IS ]105 <br />'I'C1 <br />I hereby ceritiy lhat I have read and examined this application and know the sama to he lrue and correcl. All provisions of laws and <br />ordinaces governing this lype of work will be complied wilh whelher specified herein or not. The granting ot a permit does nol presume <br />to give authori iolale or cancel the provision ot any olher slale or local law regulating wnslruction or the pertortnance of <br />construcli . Thal am orized by the owner of this property to perform the work for which applicalion is made and I camply with the <br />Slale C tract L 7 RCW and 296200 WAC. <br />