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�02� <br />SITE ADDRESS <br />CO:eTR. LICENSE <br />� <br />wERMgT APPLICA710N <br />CITY OF EVER�TT PERMIT �ERVICES <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 />USE OF BUILDING , <br />5ino�lR -�d�YU ►Y YQSideY1CQ. <br />WORK DESCRIPTION <br />Bua Id 8�cal� <br />damag�d by <br />PAflCEL TAX I.D. # <br />v >4� ISUU� <br />TRACT OR SUBDIVISION # <br />CONTACT FOR PERMIT <br />/! <br />20�56 !'-��"�e NE v�k�odi <br />HEAT50URCE <br />_ Glectric � Gas _ Other <br />oHONE <br />i IIQ <br />�+ZS -�.1.3-z3�3 <br />CONTRACT PRICE OF WORK <br />ZZ�J� $.�'�J •00 <br />�xn�Uj r2�de�c¢ �2,� Q�a�ns. Prev�a,,�s �.. i;v� <br />� <br />�ire. <br />NO. I TYPE OF FIXTURE Ofl ITEM <br />Toilel 1 I' <br />Balh�ub � <br />Lavatory �wash 6asin) � � � � � <br />Sho�ver � <br />Kitchen sink & disposal <br />Dishwasher <br />Clo�hes washer <br />Water heater <br />Sink (serv�ceibadmop/etc.) <br />Backtlow preventer <br />Urinal <br />Drinkinc� Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Oihei <br />NO. <br />TYPE OF FIXTUflE OR ITEM <br />AIC — air handling units <br />Forced air systems <br />Gas piping <br />Wat�r hea!?r <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />E.r.haust fan � 1 l � i <br />Hnat pump <br />Unit heater <br />6oiler <br />Retrigeration <br />Woods�ove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritif^ that I hava read and ezamined this application and Know the same to be true and correcL All provisions of laws and <br />ordinaces goveming this rype of woik will be complied with whether specified herein or noL The gran�ing of a permit does not presume <br />lo give authority to violate or cancel the provision of any other stale or local law regulcting construction or ihe performance �f <br />consiruclion. That I am authorized by the owner of ihis property to perform the work for which applicalion is made and I a�: �ply with �he <br />State C,m�rar.tors Law 18.27 RCW and 296200 WAC. <br />re <br />