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rERMIT APPLICATivN <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 ARF. ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />;��; � � � y � � � .-� _ <br />LEGAL LOT NO. BLOCK <br />DESC. <br />OWNER <br />/� , <br />iJ�"-n�nlc-�r=Y� f�;�rC�J <br />TENANTNAME <br />CONTR. LICENSE # �`L <br />USE OF 6UILDING <br />K DESCRIPTION <br />�� J/ <br />'i�,7 � /L�nv �l�t� <br />�ARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />ADDRESS <br />�/'IG: Ila�_ <br />� CONTA FOR PERMIT <br />^� <br />r <br />� �C _ � ' ( 'Cr b [ �y_ <br />AD RES <br />/ � ��iL <br />`!a ' : /�1 l.0 � <br />HE <br />_ Elec�ric <br />E <br />Gas _ Other <br />C <br />�C�i � iC ��Ei �l (���1 <br />NO. I TYPE OF FIXTURE OR ITEM <br />t2 Toilel <br />Ba1hWb <br />� Lavatory (wash basin) <br />I Sho�ver <br />i Kitchen sink & disposal <br />i Dishwasher <br />Cbthes washer <br />--��— Water heater <br />� Sink (serviceNar/mop/elc.) <br />Bachfb�v prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. <br />� <br />� <br />PHONE <br />E-tdAIL <br />CITYIZIP <br />�iC-°G�-1 �- <br />�v%-�o � �1-Cr.': <br />CONTRACT PRICE OF WORK <br />i— C�J <br />� , S �'v " <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handlicg unils <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas (ireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit healer <br />Boiler <br />Refrigeretion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />I hereby ceriti(y thal I have read and examined this application and know the same to be lrue and correcL All provisions o( laws and <br />ordinaces govemfng,this type of �vork will be co lied wilh whelher speci(ied herein or noL The granling of a permil does not presume <br />to givo�authority'o�violale or r,ancel the�tovis� oi any olher slate or iocal law regulaling construction or the performance ot <br />construclion. T�I am.aatq�orizqci by1h� o ier o( this propmiy to perform the work (onvhich applicalion is made and I comply with the <br />State Contrac( rs Law 18�17 RCW �d. 6.200 WAC. <br />��� <br />� <br />i <br />