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SITE <br />DESC. <br />F _RMIT APPL,ICATI� �V <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8657 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />PARf. EL TAX I.D. # <br />LOT N0. � BLOCK I TRACT OR SUBDIVISION # <br />� -5 /0 <br />PERMIT # <br />%oGy S r-t'�c c �ii �z �S'���mi�-i�u-� Fv�re7�` lt.l9 c>Fl2G <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />� � �fj �_ S ( �,% I E•MAIL <br />��r D $ <br />CONTR. LICENSE N <br />USE OF BUILDING <br />WORK DESCRIPTION <br />�:F"�vID �N T/ �; � <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />BalhWb <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes �vasher <br />Water heater <br />Sink (service/badmop/elcJ <br />BackOow prevenl=r <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />O�her <br />HEATSOURCE <br />Electric � Gas _ Other <br />CONTRACT PRICE OF WORK <br />z�3,n�o — <br />NO. I TYPE OF FIxTURE OR ITEM <br />AIC — air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas freplace <br />Gas renge <br />Clothes dryer <br />Range hood <br />Exhausl fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woods�ove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify Ihat I have read and examined this application and know the same to be true and correct. AII provisions oi taws and <br />ordinances goveming this type of work will be complied with whelher specified herein or noL The granting of a permit does not presume <br />to give authority lo violate or cancel the provision ot any olher state or local law regulatinc� construction or the periormance of <br />construclion. Thal I am authorized by Ihe owner of this property to per(orm the work for which application is made and I comply with the <br />State Contractors Law 18.27 RCW and 296.200 WAC. <br />� i �_...__—� � �-. i �–✓ / /l � <br />