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� <br />PERMIT 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 />APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PM <br />SITE ADDRESS_ \�, <br />1 0 O�"� SL <br />LEGA LOTNO. BLOCN <br />DESC <br />OWNER <br />�Yl 0.n �—_ <br />7ENANTNAME <br />CONTRAGTOR .� L�p..� �� <br />CONTR. LICENSE ll <br />�c ir�,v� <br />USE OF BUILDING <br />�� <br />PARCEL TAX I.D. li <br />TRACT OR SUBDIVISION # <br />�C"ONTACTFOR PE(R`MIT <br />�11i Me i. (U Cy L/1�.1 V--(1 <br />ADDRE55 yl, i j > � P� <br />HEAT SOJJRCE <br />i <br />Electric � Gas _ Olher <br />PHONE <br />y-a3-�s <br />PEftM1T # <br />30 -0�7 <br />i10NE <br />� g� • oa� <br />ov .�a� '�1�0 <br />�, �� E r"Z'i:G �� r�`1''� C� f��C: rY <br />C�QNTRACTOPRICE OF WORK <br />+%'-'a � � <br />I n c➢JJ^-11PTION � a S " 1 v 1� ��'�- �' 1�� I`I �'' `� <br />v� n� 11 <br />� Vci".. <br />NO. I TVPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Drshwasher <br />Clolhes washer <br />Waler heater <br />Smk (serncelbarlmople�c ) <br />BackflOw prevenler <br />Unnal <br />Drinkmg Fountain <br />Ploor drain <br />Grease trap <br />Roof drams <br />O�hcr _ <br />NO. I TYPE OF FI%TURE OR ITEM <br />AJC - air handling units <br />1 Forced air syslems <br />� Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Rangehood <br />Exhaust fan <br />Heat pump <br />Unit healer <br />�aler <br />_ Refngcralion <br />Waodstove <br />Olher <br />CITY OF EVERETT LOCAI SALES TAX COOE IS J105 <br />I hereby certity Ihat I have read and examined ihis application and know ihe same to be Irue and correG NI provisions o1 laws and <br />ordmances goveming Ihis type of work will he cornplied wAh whether specdied herein or not The granling ol a permd does not presume <br />to give aulhonty to violate or car.cel Ihe provision of any other state or local law regulating consirucfion or the performance of <br />constr iction Thal I am authoriz d 6y the owner o( Ihis property to perform the work for which applicahon is made and I cumply wilh Ihe <br />Slale �'oNrec�ors Law 18.27 f2C�W and 29� .�WAC ^ I ' <br />