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PERMIT APPLICATION <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 />SITE �DD E� <br />,-�-C �E <br />LEGA LOT I10. I <br />DESC. <br />OW <br />�� ��+�I-r.�C:- � L <br />TENANT NAME <br />CONTRACTOR <br />CONTR. LICENSE # <br />USE OF BUILDING <br />APPLICATIONS <br />PARCEL TAX I.D. # <br />y46 SrzBo�o� <br />TO 4 PM <br />PERMIT # <br />��na�1- <br />;� (��s c.����a � �vr r,�.� �asa � �>��l <br />CONTACT FOR PER IT n PHONE <br />�/_�,�,��Q, v���� � �/as -asa - 9� � � <br />ADDRESS CITY2IP PHONE <br />HEATSOURCE � <br />_ Eiectric � Gas _ Other <br />CONTRACT PRICE OF WORK <br />3 6,L�a <br />WORK DESCRIPTION � <br />� �I C�IZ C�cl I� �o�F Prec� f�� �Ic� �����F �'�i��oc�� <br />NO. � TYPE OF FIiCTURE OR ITEM <br />Toilel <br />Balhtub <br />Lavatory (wash basin) <br />Sthawer <br />Kik�hen sink & disposal <br />Water heale <br />Sink (scrvic� <br />Backflow pn <br />Urinal <br />Orinking i <br />Floor in <br />Grc e Irap <br />R t drains <br />NO, TYPE OF FI%TURE OR ITEM <br />A/C - air handling units <br />� Forced air systems <br />Gas piping <br />Waterheater q,� <br />�_ as fireplace <br />rango <br />� Clot s dryer ��-CZ <br />CITY OF EVERETT LOCAL SALES TAX <br />Exhaustf� <br />Heat pump <br />Unit heater <br />Boiler <br />IS 3105 <br />I hereby ceritify Ihat I have read and examined this application and know lhe same to be true and correct. All provisions of laws and <br />ordinaces goveming this type of work wili be complied with whelher specified herein or noL The granting of a permil does not presume <br />to give authorily to violate or cancel the provision of any other state or local law regulating construction or the perfortnance of <br />conslruclion. That I am aulhorized by the owner of this propeAy to pedorm the work (or which application is made and 1 wmply with lhe <br />State Cont�actors Law 18.�EW"�nd 296.200 WAC. <br />IZ <br />