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SITE ADDRESS <br />=. Glq <br />LEGA LOT NO. <br />DESC. <br />PERMIT ARPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CED.4R 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 <br />PARCEL TAX I.D. N <br />er AVe ���e ��;wA q�3o� <br />BLOCK TRACT <br />� ..a-9-n'7 <br />Ak1e1F (��c>�=c� \nlolc�e.SCrna��- 5019 f�UCkEP, AV� �ieiei�,�n�A �iRZa3 <br />TENANT NAME CONTACT FOR PERMIT PMONE <br />� -7�'I�i3�9- <br />CONTRACTOR AUDRESS CITY2IP PfiONE <br />CONTR. UCENSE k <br />USE OF BUILDING <br />WORK DESCRIPTION <br />�� �� <br />HEATSOURCE <br />r. <br />��Eleclric Gas Other O��e� <br />�clU\�1- Fa���l�y ��oM� <br />N0. I NPE OF FIXTURE OR ITCM <br />Toilel <br />E3athl�b <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Vo'aler heater <br />Sink (service�bar/mop/etc.) <br />8ackffow prevenler <br />Urinal <br />Drinkirg Fountain <br />Floor drain <br />Grease irap <br />Rooi drains <br />Othcr <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unil healer <br />Boiler <br />Re(rigeralion <br />Woodsiove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerili(y thal I have read and examined this application and know the same to be irue and correcl All provisions of laws and <br />ordinaces governing this type ol work will be complied with whether specified herein or noL The granting ol a permit does not presume <br />to give authority to violale or cancel :he provision of any other stale or local law regulating c:onstruction or the performance of <br />:�onstruction. Thal I am authorized by the ewner of this property to periorm the work for which application is made and I wmply with the <br />State Contraclors Law 1827 RCV�' and 296200 WAC. <br />vetie <br />