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PEtt�VIIT APPLICATION <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 />APPLIC ATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS . <br />`,aC �Avvic/ql.i��Vl= <br />LEGA LOT NO. BLOCK <br />7nSzn Q 3zryr.se <br />TENANTNAME <br />PARCEL TAX I.D. M <br />C� C� 3 q 3'-1 v0000 b v <br />TRACT <br />�ao Tw,...u�k "'y (�✓, <br />CONTACTFORPERMIT <br />COMRACTOR � K,���C��n� � QXC��✓, ��DRESS <br />CONTR. UCENSE p <br />USE OF 3U!LDING <br />ReS, <br />HEATSOURCE <br />_ Eleclric k Gas _ Olher <br />WORK DESCRIPTION <br />IJZ�Mt, �exi$T�nS h��h� <br />NO. � TVPE OF FIXTURE OR ITEM <br />Toilel <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Oishwasher <br />Cblhes washer <br />Water hea�er <br />Sink (servicelbadmoplelc.) <br />Backflow preventer <br />Urinal <br />Drinkinc� Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. <br />C�TYIZIP <br />y�,o-�6 <br />PERMIT N <br />� f./ /: ��-/i/`.� <br />q$do_' <br />PHONE <br />Pr�ONE <br />'�15-51y_ <br />Sss�y <br />CONTRACT PRICE OF WORK <br />TYPE OF FIXTURE OR ITEM <br />AIC — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gar range <br />Clothes dryer <br />Range hood <br />Exhausl (an <br />Heat pump <br />Unil healer <br />Boiler <br />Retrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriti(y that I h ive read and examined this application and know the same lo be true and correcL All provisions ot laws and <br />ordinaces goveming Ihis type ol work will be cnmplied with whelher specified herein or noL The granling of a permil does not presume <br />to give authority to violale or cancel the prov�sion of any olher state or local law re�ulating constniction or the performance of <br />conslruction. Thal I am authorized by Ihe o��ner o( this property to peAorm the work for which applicalion is made and I comply wilh the <br />Slale� onlraclors Law 1827 RCW and 296_200 WAC. <br />1.1�� ,��Z ?,q��n.Q '� - ►�-o(� <br />