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�tRMIT 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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />LEGA LOT NO. BIOCK <br />DESC. <br />OW NER <br />�' ���Tl� �G��� ��� <br />TENANTNAME <br />,_� 6i S /-�/�/��'� <br />co rrcncivn <br />=rc��C'� � <br />CONTR. LICENSE N „�� _ <br />USE OF BUILDING <br />WORK DESCRIPTION <br />PARCEL TAX I.D. N <br />TRACT OR SUBDIVISION k <br />CONTACT FUR PERMR <br />,.�.��� <br />�� ��y� <br />y�/%%C Ci�9.Cr�_ <br />NO. I TVPE OF FI%TURE OR ITEM <br />Toilel <br />Balhtub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (service/bar/mop/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Olher <br />HEATSOURCE <br />Eleclric Gas Olher <br />PHONE <br />PERMIT N <br />> 3!%� <br />� �c ,cv�cYc��ri <br />� Z� ���'�� i <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />AIC — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />�as range <br />Clothes dryer <br />Range hood <br />Exhausltan <br />Heat pump <br />Unil heater <br />Boiler <br />Re(rigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TA7( COOE IS J105 <br />I hereby ceritify that I have read and examined this applicalion and know the same lo be true and correct. All provisions of laws and <br />ordinaces �overninc� lhis lype o( work will be complied wilh whether specified herein or not The granting of a permil does not presume <br />to give authonry to violate or cancel lhe provision o( any olher state or local law regulating construction or the pertortnance o( <br />conslruction. That I am authorized by the owner of this propeAy to peAorm lhe work for which application is made and I camply wilh the <br />S�ate Conlrac�ors Law 18.27 13CW and 29�200 WAC. <br />