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SITE ADDRESS <br />P�RMIT APPLICATIC�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATI��NS ARE ACCEPTED FROM 8 AM TO 4 PM <br />S7%1��T s�1.�'i. <br />� <br />LOT NO. <br />BLOCK <br />: ��'JY:G� % � <br />CONTR. LICENSE N L/%-� �l G�/'� <br />USE QF BUILDING <br />PARCEL TAX I.D. # <br />TRACT OR SUB�IVISION # <br />CONTACT FOR PERMIT <br />HEATSOURCE <br />_ Eleclric � Gas _ Other <br />0 <br />IT # <br />� �- - c // <br />PHONE42�' 2s,'�$97 <br />E-M AIL GIaYK-�'' GI . GVGYGiI <br />CONTRACT PRICE OF WORK <br />�T1NL4?� <br />WORIC DESCRIPTION <br />7tilA�V?' iir�r-��vcn�Ar� � ; x�� sr.� �� �� ��,�,rs c� �� ,�r1. ��- <br />8U/LIJ/�t,i=, !�7P2lOf/M4Z:�L-Gl ,20� OR� �, ) Gc�t7l'.!G ZD /�UGC.UDE SELEGT/!/E I�hk� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilcl <br />Ba1hWt� <br />Lavatory (wash basin) <br />Showcr <br />Kitchr.n sink 8 9ispeseh <br />Dishwasher <br />Clolhes washer <br />Walc, healer <br />Sink (servicelbar/mop/elc.) <br />Backllow preventer <br />Urinal <br />Drinkinc� Founlain <br />Floor drain <br />Grease trap <br />Roo( drains <br />O�her <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />G2s piping <br />Water healer <br />Gas firepiace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unit heater <br />Boiler <br />Refngeration <br />Woodslove <br />Other <br />CIN OF EVERETT LOCAL SALES TAX COD[ IS 7705 <br />I hereby ceritily lhal I have read and examined ih�s applicalion and know thc same lo be true and correcL All provisions of �aws and <br />orAinaces governin� lhis type of work will be complied wilh whelher specilied herein or noL The granting of a permit does nol presume <br />to give aulhority to violate or cancel the provision of any olher state or local law regulaling consWclion or lhe pertormance ol <br />construclion. Thal I am authorized by t�e owner o( this property to peAorm the �vork for which applicalion is made and I comply with Ihe <br />Stale Contrett� Law�SRZ'R6'N �rtd 296.200 WAC. , , <br />.IiS <br />