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PtRMIT APPLICATIUN <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 <br />SITE ADDRESS <br />�� ZGIr /�z �1 Gr�• <br />LEGA LOT NO. BLOCK <br />DESC. <br />OWNER <br />I� �1 C , � `� �•15�'1 <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />Z��� 4'�1f.fi� <br />PERMIT # <br />0 <br />��ZS�� <<4=Si: <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />E�MAIL }� <br />E' TYI IP (�1.� l.) � <br />`��Ct �� I-f �t �c,iz n�� �l� I�t t,�-�c d1 ��� ��� t,E-f �- <br />f, TR.�i SE��_� � <br />�/ � w�' �, � ' <br />�'!i bZf � 1c� � � `� � � �'��� �� — <br />USE OF ILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />XEleclnc �Gas _ Other "` � �'���� <br />WORK DESCRIPTION <br />�1�'1`�tCl ���'��� 1 v'� �'� C/� ( C"f�T/1 L i"��`1��1G�./' <br />NO. I IYPE Of FIXTUR[ OR ITEM <br />Toilel <br />13athtub <br />Lavatory (wash basin) <br />Showcr <br />Kitchen sink & dispos2l <br />Dishwasher <br />Clothes washer <br />Waler heater <br />Sink (service/badmop/elc.) <br />6ack0ow prevenler <br />Urinai <br />Drinking Fountain <br />Floor di ain <br />G�ease Irap <br />Roof drains <br />Other <br />I hereby ceritify Ihal 1 ha <br />ordinaces governing thi: <br />to give auth ro viola <br />construclion. T at I am <br />S;ate Contract rs Law 1 <br />NO. I TYPE OF FIY.TURE OR ITEM <br />NC — air handling units <br />_ Forcedairsyslems L(�'[-�'��L <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust (an <br />f iea� pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodslove <br />Other <br />CIN OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />;.(ead and ezamined lhis appiication and know lhe same to be true and correcl All provisions ot laws and <br />ype of work wil� be complied w�lh whelher sper,i(ied herein or noL The granling of a permit does nol presume <br />or cancel the provision of any olher state or loral law regulating wnslructien or the peAormance o1 <br />tlLrized by the owner of lhis property to pedorm the work for which application is made and I comply wilh the <br />�,�eci �����3��� <br />