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SI7E ADDRESS <br />siz i � ,, <br />LEGAL LOT N0. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEP.ETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. p <br />BLOCK � TRACT OR SUBDIVISION �t <br />11�1 4 D� D�'� <br />(/.. ' ! �.� /e/ .Si.: .-n._ �f1 S 7�l' - a� y' l <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />Sc++�,..._ E•MAIL <br />ACT j�� DRE S ITY/ IP M N <br />CONTR. LICENSE N <br />USE OF BUILDING <br />WORK DESCRIPTION <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilei <br />Dnthlub <br />Lavalory (wash basin) <br />_ Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />W ater hea�er <br />Sink (servicelbadmoplelc.) <br />Backflow prevanler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Greaso trap <br />Rool drains <br />Olher <br />HEATSOURCE <br />✓ Eleclric �Gas _ Other <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />� Gas piping <br />Waler healer <br />� Gas (ireplace <br />Gas range <br />Clothes dryer <br />Ranc�e hood <br />Exhausl fan <br />Heat pump <br />Unit heater <br />6oiler <br />Refrigeration <br />Woodstove <br />Other <br />CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined Ihis applicalion and know the same to be true and correct. All pmvisions o( laws and <br />ordinaces goveming lhis lypc ol work will be wmplied �vith whether specified herein or noL The granting o( a permil does nol presume <br />lo givc authority to violale or cancel the provision o( any olher stale or local law rec�ulating constniction or Ihe performance of <br />consirudion. That I am aulhorized by the owner of lhis property lo perfomi the work for vahich applicalion is made and I comply wilh Ihe <br />State Contractors Law 1827 RCW and 296.200 WAC. <br />z� <br />