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v <br />PE IT ApPLICATION ` <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, �':A 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />SITE ADDRESS <br />S�s SC,-rµ <br />LEGAL LOTNO. <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />B�OCK <br />r <br />PARCEL TAX I.D. # <br />�ZS U`lo � -Un L - <br />TRACT <br />-�U <br />� V��' C <br />� �, <br />� 0 <br />G� <br />PERMIT # <br />C�n2-�� � <br />VOI�'LR �KELhhlO �{pMES �yl(�, AUUKtss GIIT/LIP PMONE <br />Po Box $Yb Lk- S.^cVEr�S: W,� `iS'ZS8 �JZi���G-']?67 <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />�-c�'uG (�,w 2f3 �S yz S• 3S� ��G 7 <br />CONTRACTOR �-�IcELAwJp r.�py�„Ef rn� DDRESS <br />CONTR. LICENSE # L�k c � H i QO I J'L <br />USE OF BUILDING <br />� F�. <br />WORK DESCRIPTION <br />CITY2iP PHONE <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />_ Eleclric � Gas _ Other <br />A�/�'2 ,�7�iG !� ll�' <br />('��T,e�C'iavi a= lG'/.� /b ,St=v� <br />NO. I TYPE OF FIXTURE OR ITEM <br />t. Tailet <br />� Balhtub <br />3 Lavatory (wash basin) <br />1 Shower <br />i Kilchen sink & disposal <br />I Dishwasher <br />� Clothes washer <br />1 Water heater <br />Sink (service/bar/mop/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clc:hes dryer <br />Range hood <br />Exhaust fan <br />HeatpumG� <br />Unit heate� <br />Boiler <br />Refrigeration <br />Woodsto��o <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby ceritify that I have read and examined this applicalion and know the same to be true an ' correct. All provisions of laws and <br />ordinaces governing this type of work will be complied wilh whether specified herein or not. The g�anting of a permit does not presume <br />to give authority to violate or cancel the provision of an, other stale or Iocal law regulaling construction or the perfortnance of <br />constr�ction. That I am authorized by the owner ot this property to peAorm the work for which application is made and I comply with the <br />State Contractors Law 18.2% RCW and 296200 WAC. <br />Y <br />I/Z <br />