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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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDR SS <br />�p,S2D Wi/ �c% c`�Vtst.�f-F <br />LEGA LOT NO. 8 <br />DESC. <br />OW NER <br />�kQ��� <br />TF.!e:NT NAME <br />N l�- <br />CQNTA. LICENSE N <br />USE OF BU�LDING <br />f��s��c�a� <br />WORK DESCRIPTION nq <br />JuS�i'ot�� �S O��IJ <br />PARCEL TAX t.D. N <br />4Pzo3 <br />iCK TRACTORSUBDINSION� <br />ADDRESS <br />C¢52o Uj,Y/o..� ". �'� <br />CONTACTFOF PERMIT <br />��[+� � <br />HEATSWRCE <br />_ Elearic � Gas _ Other <br />�r -ir�rn4fG <br />110. I TYPE OF Fl%TIIRE OR ITEM <br />Toilot <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 Aisposal <br />Dishwesher <br />Clotha,: washer <br />Water heater <br />Sink (service/bar/mopletc.) <br />Backllnw prevontor <br />Urinal <br />Drinking founlain <br />Floor drnin <br />Grease trap <br />Rool drains <br />Jiher <br />q-a-o <br />PERAIIT f <br />Izs-�r5v-Y6 7, <br />yzs-�sa- 4��5 <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEN <br />_ / A/C — alr handling units <br />Forced air systems <br />�� Gas piping <br />_% Water he2ter <br />Gas lireplaco <br />Z Gas renge <br />Clo�hes dryer <br />Rangohood <br />Exhaust fan <br />Heat pump <br />Unit hea�er <br />Ci�iler <br />Fehigeralion <br />lYoodslova <br />_� Qther <br />CIiY OF EVEHETf LOCAL SALES TA7C CODE IS 7105 <br />I hewby centity that I havo raad aM axaminod lhis npplication and know Iha sanw to be true and correct. All provisions of laws and <br />ordinaces governing ihis type oi work will be complied with whether <p�iliod herein or not. The �rentinp ot a psrtnit doos nol presu: ie <br />to pivo authoriry to violate or cancel the provision ot any other state or lucal law regulating ConsWction or Ihe pertormanco of <br />�.•?•. :iruction. That I am authonzed 6y ihe owner ol this property to pertortn the �wrk for which applica�ion is made and I comply with the <br />Sta:� Contractors 43w 18.27 RCW and 296.200 WAC. <br />