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SITE ADDRESS <br /><<� � <br />, <br />LEGAL LOT NO. <br />oesc. 7 _ <br />OWNER I <br />/ "�'' \ <br />PCRMIT APFLICATI�N <br />CITY OF EVER�TT 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 <br />n.2 �� <br />TENANTNAME <br />OkTRACTO�v�~� <br />�c.r�l� ��/ <br />CONTR. LICENSE i! <br />USE OF BUILDING <br />5inelc�,�,i�� /ZL <br />PARCEL TAX I.D. # <br />co�13 (c7��� <br />�...( 0-09 <br />PERMIT# <br />Rn�t'03- <br />r,TRACTORSU8D��1,S'o%5 �����7�y Q�3x���o <br />�,�rvyi(1"L•w2 �►- <br />ADDRESS GITYRIP G� � i <br />� �2 3 �� � �' � ���P�-e�- <br />CONTACT FOR PERMIT <br />HEATSOURCt <br />Eler.tric // Gas Olher <br />� G� q �I�✓ �"�''J � �'iJ �, � ��.. �� � . <br />C <br />Np, I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Balhlub <br />Lavatory (wash basin) <br />Shuwer <br />Kilch�n sink & disposal <br />Disnwasher <br />Clothes washer <br />W ater heaier <br />Sink (service/badmop/elc.) <br />BackOow preventer <br />Uriml <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Other <br />PHONE (�� �f� �50� 7 <br />PRICE OF WORK <br />NO, I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />... Forced air systems <br />_ Gas pipiny <br />Water heater <br />Gas tireplace <br />Gas range <br />Glolhes dryer <br />Range hood <br />Exhausl fan <br />I leal pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify thal I have read and examined this applicalion and know the same lo be true and correcL All provisions of laws and <br />ordinaces c�ovemino this lype o( work will be complied with whether specified herein or noL The grentinc� o( a permil does not presume <br />to give aulhorily lo violate or cancel the provision o( any other state or local law regulating consWction or the performance of <br />conslrur,lion. Thal I am author¢ed hy Ihe owner nf this pmperty to perform the work for which applicalion is made and I comply wiih lhe <br />Slale Conlra�lors�Lav+ 18.27 RGW„and '2�.20Q WAC. �_ / _ <br />O I� <br />� <br />� I <br />� <br />