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SITE ADDRESS <br />LEGAL LOT NO. <br />DESC. <br />PtRMIT APPLICATION <br />CITY �F EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.ory <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO d PM <br />�� S� � <br />BLOCK <br />9"� K � l, I �� �� <br />TENANTNAME <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION i{ <br />'I -- afl - °`� <br />L�� <br />Z2 "° S T— �vee�-?T— `/?5 -3�3�8 <br />FOR PERMIT <br />PHONE <br />I E-MAIL <br />��NTRACTOR DDRESS I I I PH E <br />CONTR. LiCENSE fi ���� � � � �� <br />USE OF BUILDING I HEAT SOURCE I CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />_� , <br />I_ Eleclric _ Gas ` Olher <br />T�A� O FF � �e �oo F <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />B3(I1�U� <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Waler heater <br />Sink (servir,e/badmop/elc.) <br />Back(low prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Olher <br />ryp, � TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air syslems <br />Gas piping <br />W aler heater <br />Gas (ireplace <br />Gas rangc <br />Cblhes dryer <br />Range hood <br />Exhausl fan <br />Heal pump <br />Unil healer <br />Boi�er <br />Refric�eralion <br />Woodstove. <br />_ Olher _ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriiify that I have read and examined lhi; applicalion and know lhe same to be Irue and correcL All provisions oi laws and <br />ordinaces �overning this type o( work will be complied with whelher speci(ied herein or nol. The granting of a permil does not presume <br />lo give authoriry lo violale or cancel lhe provision o( any olher state or local law regulating construclion or ihe performance oi <br />construclion. That I am authorized by lhe owner of this property lo peAorm lhe work tor which appiication is made and I comply wilh lhe <br />State C t clors I.aw 18.27 R' and 296.200 WAC. <br />/ - .�-� ,�-P��-- — Z � - c� cI <br />