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P�tRMiT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVERET s. WA 98201 <br />SITE ADDRESS <br />2.�0� 215� <br />LEGAL LOT NO. <br />DESC. 'Z <br />Nt�ck 6ce.s. N�n�s <br />TENANTNAME <br />425-257-8810 — FAX 425-257-885� — w�niw.everettwa.org <br />APPL�CATIONS ARE ACCEPTED FROM b AM TO 4 PM �JG'�%L�'G�"�f g <br />PARCEL TAX I.D. # <br />�3;oisn�zo <br />BLOCK I THACT <br />�3�=rZ2 �,��bti„� .�. t <br />CONTACT FOR PERMIT <br />��.� Na�\�k <br />0 <br />Evc�Ezz �jG2t!S- �i2S-397-7 36b <br />PHONE <br />�i2�=Z4c�- 2�2�i <br />CONTRACTOR ADDRESS CITYIZIP PHONE <br />Hr��,c�t3'��►2�?Z 3n22 �es��hA��.�� £�E�i-r yZS-3h7-73e�o <br />CONTR. LICENSE # , � `{^1L�S <br />1 f �C g('��S . 1-�ChN1ES � - <br />USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />J �"1� _ E�ectric � Gas _ Other � I�� h <br />WORK DESCRIP710N <br />%� t,��..7 S �—;� <br />NO. I TYPE OF FIX7URE OR ITEM <br />Toilel <br />Bathtub <br />La��alory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Waler heater <br />Sink (servicelbar/mop/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Raof drains <br />Other <br />��L� <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C — ai� handling units <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas (ireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unit heater <br />Bniler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerili(y thal I have read and examined lhis application and know lhe same to be true and correct. All provisior�s of laws and <br />ordinaces governing lhis type o( work will be complied with whether specitled herein or noL The granting of a permil does not presume <br />to give authorily to violale or cancel lhe provision o( any other slate or local law regulaling construclinn or lhe performance ot <br />conslruction. That I am authorized �the o�vner of this property lo periorm lhe work for which application is made and I comply wilti the <br />Slal�ConlractoiS:Law 18.2ARCYV d296.200 WAC. <br />