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SITE ADDRESS 2� � <br />LOT NO. <br />t1 <br />TENANTNAME � <br />) C 7e 1-� <br />CONTRACTOR �/^ f �� <br />CONTR. LICEN�F i! � , . <br />�-1 l I e <br />P�RMIT APPLICATION <br />CITY GF EVERETT 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 />(�t� S% <br />BLOCK — <br />I� w�4� <br />� � j� ,. <br />U S'� <br />USE OF BUILDING <br />WORK DESCRIPTION : �/� � ��' � <br />2 � S�' �'� <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />2� � (� � � �f� <br />CONTACT FOR PERMIT <br />r��y �y��� <br />-v�-rfi` <br />( �(�o �� �I � � P ... � <br />� C J� (� <br />HEATSOURCE <br />_ Eleclric _ Gas _ Olher <br />� ��j j (� Q fi <br />%�il� 1�r, i�l A �� c( <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />DaUilub <br />Lavalory (wash basin) <br />Sho�ver <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washcr <br />Water heat�r <br />Sink (service/bar/mop/elc.) <br />6ackflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roo( drains <br />Other <br />��7-07 <br />PERMIT # <br />S7v�cz <br />-25�7- ( <br />PHONE <br />E•MAILi`Z/ — �`E) —d�)b � <br />rnvnc <br />��,�.�h��v�� ���� <br />— 7 S� S�- a 7b �' <br />CO"JTRACT PRICE OF WORK <br />�'2 ��� � <br />MECHANICAL <br />NO. I TYPE OF FI}:TURE OR ITENI <br />A/C — air h��dling units <br />Forced air syslems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhausl fan <br />Heal pump <br />Unil healer <br />Boiler <br />Refrigeration <br />Woodslove <br />Other <br />I � <br />CITY OF EVERETT LC':AL SALES TAX CODE IS 3105 <br />I hereby cerili(y lhat I have read and examined lhis applicalion and know lhe same to be lrue and correct. All provisions o� :�v. and <br />ordinaces c�oveming this type o( work will be complied wilh whelher speci(ied herein or not. The grentiny of a permit does nu� •esume <br />lo give authority to violate or cancel the provision of any other slale or local law regulating construction or lh� performance of <br />conslruclion. 7hal I am authorized by �he owner of ihis property to periorm lhe work for which application is made and I comply with the <br />Slate Conlraclors Law t$.27 RCW an�6.200 4UAG, <br />% <br />�3 <br />