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— � — <br />P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, VVA 98201 <br />425-257-8810 – FAX 425-287-8857 – www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM '� —\ �1—fU <br />SITE ADDRESS :.�(�+� s <br />�IJC�C j7� <br />LEGA LOT NO. / <br />DESC. --�� ..! G oiS <br />OWNER <br />1�1,�.� A � t3J <br />TENANT NAM@ <br />COWTR. LICENSE fl L�`�"� n l:� <br />USE OF BUILDING <br />WORK DESCRIPTION <br />�����o1���uc� o(� <br />� � rA�.� PARCEL TAX I.D. p <br />�cg�D� �a`7�o vo0�l�•l. <br />)CK TRACT OR SU�q IVISION R <br />�1 �,�,rr��p Yq;1C �.iil� � <br />`�lp 15 ��c.��� <br />CONTACTFORPERMIT <br />PERMIT # <br />1\C)C�- �) <br />�� <br />���:� �,�� ��ao <br />PHONE zS a S9•'�330 <br />I p(,�(�Q 1 E-MAIL _ <br />DRE � � ' P <br />HEATSOURCE <br />_ Eleciric _ Gas <br />�xi�tin� �cf2��� <br />NO. I TYPE OF FICTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kitclien sink & disposal <br />Dishwasher <br />Clothes washer <br />Waler healer <br />Si�k (service/badmop/etc.) <br />�acktlow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />CONTRACT PRICE OF WORK <br />Olher <br />NO. I TYPEOFFIXTUREORITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />[xhaust fan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Wc�dstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have iead and examined this application a�d know the same lo be Irue and correct. All provisions oi laws and <br />ordinances goveming this type of work will be complied with whether specified nerein or not. The granling oi a permil does nol presume <br />to give authority lo viola�e or cancel the provision of any olher slale or local law regulating consWction or the performance of <br />construclion. Thal I am authorized by the owner of this property to periorm the work (or which applicaCon is made and I comply with the <br />State Contraclors Law 18.27 RC1N and 296.200 WAC. <br />' �i i"1 �, . . (, , /�ia . �'i'�: ( f'�I /�fi �/C <br />