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PE�tMIT APPLICATI01� <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 6-� 6- <br />SITE ADDRESS PARCEL TAX I.D. p PER IT if <br />.�05 sYc�n��R� n�-. 00�.�3500oo600v ,-, <br />LEGAL LOT N0. BIOCK TRACT OR SUBDIVISION M <br />oesc. �p o0o p-0o I-�iC-�'ll-�ND CSTATES <br />OWNER ADDRESS CITYIZIP PHONE <br />�or-{N sHe�ti�l��R6�.� �305 SYcAn�c�� PL ���e�-rt-, Ula_ `�8�-�'_ <br />TENANTNAME CONT.4CTFORPERMIT PHONE N�5_355_�ip06 <br />-S�/'�l� �O�ln/ ��CE�l�,er9e_r E-MAIL <br />T R � <br />CONTR. LICENSE k <br />USE OF BUILDING <br />WORK DESCRIPTION <br />NO. <br />HEATSOURCE <br />_ Eledric _ Gas _ Other <br />CONTRACT PRICE OF WORK <br />j'R�j'c �E D PATiO C cVER /y� x 3Z� FREE _STA�1D In!C- <br />.�] <br />TYPE OF FIXTURE OR ITEM <br />Toilel <br />BathWb <br />Lavatory (wash basin) <br />Shower <br />Kitchen sin4: 8 disposal <br />Dishwasher <br />Clolhes washer <br />waler heater <br />Sink (service/bai/mop/etc.) <br />BackOow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />O�her <br />NO. I TYPE OF FIXTURE OR ITEM <br />AIC - air handling units <br />Forced air sysiems <br />Gas piping <br />Waler heater <br />Gas liieplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust (an <br />lieat pump <br />Unil heater <br />Boiler <br />Refrigerelion <br />Wocdstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify ihat I have read and examined Ihis 2pplication and know �he same to be Irue and correct. All provisions of laws and <br />ordinances goveming Ihis lype of work will be complied with whelher specified herein or not. The granling of a permi� does not presume <br />to give authority to violate or cancel ihe provision of any other state or Iocai Iaw regulating consiruction or ihe pertormance oi <br />conslruction. That I am authorizeA by ihe owner o( this property to pe�form the work for which application is made and I comply with ihe <br />State Contractors Law 18.27 RCW and 296200 WAC. <br />-�-.<�ro <br />