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F�RMIT APPLICAiIt,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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />> � z 5 l,J��4v�u; e i�'de <br />LEGA LOTNO. BLOCK <br />TRACT <br />PARCEL TAl(1.0. / <br />O `iG GG Z <br />PERMIT N <br />'(vt c�5 d5 - <br />� �e.l �a�tillq�-1 ��3 ��' ��l�•e{,-c,�-, ri� �ve;.�1-} `� KZo3 �121 -Z�9-(e�L6 <br />TENANT NAME � CONTACT FOR PERMIT PHONE <br />CONTRACTOR j ` <br />CONTR. LICENSE p <br />USE OF BUIL�ING <br />ll"1 c� l.� <br />ADDRESS <br />� � n'�' <br />HEATSOURCE <br />Electric Gas Othcr <br />WORK DESCRIPTION <br />� v� L-a <br />{��'�� e,i.S 1„�� _',rp�e�. Y�e4� �G.S 5-i< <br />NO. � NPE OF FIXTURE OR ITEM <br />Toile� <br />6alhlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (serviceNar/mop/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Foun�ain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />CIN2�P PHONE <br />CONTRACT PRICE OF WORK <br />N0. � TYPE OF FIXTIfRE OR ITEM <br />A/C - air handling units <br />Forced air syslems <br />Gas piping <br />Water he2ler <br />Gas fireplace <br />Gas range <br />Clolhos dryer <br />Ranga hood <br />Exhauslfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woorlstove <br />Other <br />CITY OF EVERETT LOCAL SALES T/U( COOE IS 3105 <br />I hereby ceritify lhat i have read and examined this application and know ihe same to be �rue and wrrecL All provisions of laws and <br />ordinaces governing this type of work will be complied with whether specified herein or noL The granling of a permil does not presume <br />to give authonty to violate or cancel lhe provision of any olher state or local law regulaling construction or the pertormance of <br />consiructirn. That I am authorized by the owner of this property to perform the work for which application is made and I comply with lhe <br />State CDn!racto L 18.27 RCW d 296.200 W <br />� ` <br />� �-C.� �L � G,���� �)Li� / � � � �-C J <br />