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PL�IMIT APPLICATIOi� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — H^,vw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT t� CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />�� i� �� <br />LEGA LOT NO. <br />NAME <br />PARCEL TAX I.D. # <br />BLOCK � TRACT <br />�S"/Z .S'!n�✓l�t �L.amc <br />j CONTACT FOR PERMIT <br />PERMIT # <br />B�� � <br />`/�-S' <br />PHONE <br />SF�r,� I <br />CONTRACTOR jryU�7 rN(� AUDRESS CITY2IP PHONE <br />�'' Pu. s,� ivyi Lfka ST ✓(ns q�..�;� �'zS� 33 y- Gi�3 <br />CONTR. LICENSE N <br />USE OF BUILDING <br />WORK DESCRIPTION <br />YUC' � �' � {�j� <br />� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />�ishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />� _ Dnnking Fountain <br />Floor drain <br />Grease irap <br />Roof drains <br />, _ Other <br />� _ <br />HEATSOURCE <br />Electric _ Gas � Other <br />NO. <br />CONTRACT PRICE OF WORK <br />�yy�o. �a <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water hoater <br />Gas fireplace <br />Gas range <br />Ctothes dryer <br />Rangehaod <br />Exhaustfan <br />rleat pump <br />Unit heater <br />9ailer <br />Rei��geration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAI. SALES SAX CODE IS 3'105 <br />� I hereby ceritify that I have read and examined lhis application and know the same to be true and correct. Ail provisions of laws and <br />ordinaces governing this rype of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other slate or local law regulating construction or the perfortnance of <br />� construction. That I am authorized by th owner of this property to perform the work for which applicadon is made snd I comply with the <br />� StatP.CaMractors Law 18�2� RC}S! ad�96.200 WAC. <br />