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�� <br />P��MIT ARPLICATIG.� <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 2_� R�'v <br />SITE ADDRESS PARCEL TAX I.D. # PERMIT q <br />7c:� i�.,._ __ C/X� c�_,. �IC�G� '��3 <br />LOT NO. I BLOCK• -��"� TRACT OR SUBDIVISION N <br />� f% .� Z93o 6✓c'-(...o,P Eir�.�r %820� 885��0 <br />TENANTNAME I CONTACTFORPERMIT PHONE <br />� <br />-, <br />CONTR. LICENSE # ( � 'G - , � � /. � �.� <br />l <br />USE OF BUILDING <br />WORK DESCRIPTION <br />� � �/ <br />( �l I �, r: " / < <br />NO. I TYPE OF FI%TURE OR IT[M <br />Toilct <br />Dalhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchcn sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (service/badmop/elc,.) <br />�ackflow prevenler <br />Urmal <br />Drinking Founlain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Other <br />HEATSOURCE <br />Fleclric _ Gas _ Other <br />NO. <br />/ <br />4 <br />CONTRACT PRICE OF WORK <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handhng imits <br />Porced air systems <br />Gas piping <br />bNater heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Eahaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby certify Ihat I have iead and exami�ed this application and know ihe same to be true and correct. All provisions of laws and <br />ordinances governing this type o1 wak will be complied with whether specified herein or not. The granting o1 a permit does not presume <br />b give aulhority to violale or cancel Ihe proviswn ol any other s�a�e or �oca� law regulating construction or Ihe periormance of <br />cons�ruclion. Thal I am aitlhonzed by ihe owner of Uiis property lo perto� m Qie work for which application is made and I comply wilh �he <br />Slale Contractors Law 78,27 RCW and 29G200 WAC. <br />� //�il--� _ . . ___ ��� /p <br />.�,�"_`...—_'..1�...."'in_...__....�n..u.,.....,.w n......� n��., <br />'/ � <br />