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SITE ADDRESS <br />�6 � <br />LEGA LOTNO. <br />�ESC. G� <br />TENANTNAME <br />llt.lJ2�� <br />CONTRACTOR ��`/�� <br />L <br />CONTR. LICENSE # <br />USE OF BUILDING <br />� � <br />�i I� <br />PERMIT APPLI�ATION <br />CITY OF EVERETT P�RMIT SERVICES <br />320U CEDAR STREET, EVERETT, WA 98201 <br />425-257-8610 — FRX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTEC FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />TRACT <br />PERMIT # � 7 <br />/�� %���.� <br />Y CONTACT FOR PERMIT' PHONE <br />/���',�/,� ADDRESS CITYIZIP PHONE <br />� �,�, l � �. Nor�z.e� .�� • , S,�c< . , dv/i 9� /n �i <br />i' i i . _ <br />WORK DESCRIPTION <br />\\�<r.l �t'z �7 <br />_ Electric _ Gas _ Other <br />�� z�, ���eor���c� <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR I TEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />_I Other_ <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />_ Gas piping <br />Water heater <br />Gas freplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Qoiler <br />Re6igeration <br />Woodstove <br />Other <br />_I <br />CITY Of EVERETT LOCAL SALES TAX CODE IS J105 <br />I hereby ceritity that I have read anG examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this type of work will be complied with whether specified herein or not 7he granting of a permit dces not presume <br />to give authority tu violate or cancel the provision of any other state or local law regulating con;:tru�tion or the performance of <br />construction. That I am authorized by the owner of thls property to perfortn the work for which a�plication is made and I comply with the <br />State Coniradors Law 1827 RCW and 29620� WAC. <br />