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PEr�MIT APPLICATIO�J <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 />'�j ��-0� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />LEGAL L0T NO. <br />DESC. <br />OWNER <br />_ «.-1' <br />TENANTNAME <br />CONTRACTOR <br />CONTR. LICENSE # <br />USE OF BUILDING <br />BLOCK <br />J C.� n� < <br />PARCEL TAX I.D. # <br />TRACT <br />ADDRESS <br />s ��� wF;��� <br />ICONTACT FOR PERMIT � <br />ADORESS <br />.$�7/7 �✓r a• "� <br />HEATSOURCE <br />Electric Gas Other <br />WORK DESCRIPTION <br />� -�-> /��.� � � ,�� �. � <br />N0. I NPE OF FIXTURE OR ITEM <br />� <br />Toilel <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (servicelbadmop/etc.) <br />Backflaw preventer <br />Urinal <br />Dnnking Fountain <br />floor drain <br />Greasetrap <br />Roof drains <br />Gher <br />PERMIT # <br />MU�� �03 <br />Y21P PHONE <br />�Z�3 -91.�-3-y7-SBzo <br />PHONE <br />CITY2IP <br />Ci�:<'F/r" <br />9d'1o� <br />PHONE <br />9 zs-34 �- ��za <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rangehood <br />Exhaustfan <br />Heat pump <br />Unit heater �jGu`'' �� <br />Boiler <br />Refngeralion <br />Woodstove L� <br />Other Ou.—�CC-T Go!_ uC�.D�' <br />�k���_$- -� �-c J <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this type of work �vill be cemplied with whether specified herain or noL The granting of a permit does not presume <br />to give authonty m violate or cancel the provision of any other state or local law regulating construclion or the performance of <br />construction. That I am authonzed by the owner of this prope�ty to perform the work for which application is made and I comply with the <br />Slate Contractors,L�78.27 RCW 296200 WAC. <br />� /i���....C/� �- 2 - D S _ <br />