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SITE ADDRESS <br />„�c�i� �= <br />:EGAL LOT ry0. <br />DESC. �a 2 <br />TENANTNAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVlCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-d810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />C �_l, <br />� �i 1 I <br />CONTRACTOR <br />� �rn <br />CONTR. LICENSE # <br />USE OF BUIl.DING <br />WORK DESCRIPTION <br />"j� �Y'I1C� � � <br />NO. � TYPE OF FII(TURE OR ITEM <br />Toilel <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Wa1er heater <br />Sink (service/bar/mop/etc.) <br />Backflow prevenler <br />Urinal <br />Orinking Founlain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />PARCEL TAX I.O. # <br />�5� I C <br />TRAC1T `, <br />S-7 . N i �, � U S S <br />S-FG 1 C� �t I <br />CONTACT FOR PERMIT <br />��m l..�Jc <br />PERMIT N <br />� D ��00 - <br />!IP PHONE <br />�, , 1,.� P <br />PHONE <br />o?o� S � S- S �� 2- <br />ADDRESS CITY2IP <br />HEAT SOI �RCE <br />_ Eledric _ Gas __ Olher <br />� �'� n �+. c_ 1 Ca �/ <br />NO. <br />PHONE <br />CONTRACT PRICE OF WORK <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rangehood <br />Exhaustfan <br />Heal pump <br />Unit heater <br />Boiler <br />Refnger2lion <br />Woodslove <br />Other <br />CIN OF EVERETf LOCAL SALES TAX COUE IS 3105 <br />I hereby cerili(y lhal I have read and examined lhis application and know the same to bs true and corcect. All provisions of laws and <br />ordinaces goveming this lype of work will be complied with whelher speci(ied herein or noL The c�ranling of a permit does nol presume <br />to c�ive authoriry to violale or cancel Ihe provision o( any other state or local law regulaling construction or Ihe perfortnance of <br />wnslruction. Thal I am authorized by lhe ov.�ner of this property to perform the work for which applicalion is made and i comply with the <br />Slate Contrac!ors Law 10.27 RC and 29G.200 WAC. <br />�'\.� �-'� � g� � `-� lD E� <br />