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SITE <br />NO. <br />P��tMIT APPLICATIGN <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 ARE ACCEPTED PROM 8 AM TO 4 PM <br />LH�U� S� <br />BLOCK <br />IGV72.�vt� L��-• <br />TENANT4AME <br />(J �. �-t 2 � <br />CONTRACTOR .,.,_ <br />CONTR. LICENSE # <br />USE OF BUILDING <br />�i L� <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />a /��v /�G`� �'EI7 <br />CONTACT FOR PERMIT <br />���'`L A2zZ <br />WORK DESCRIPTIO � <br />�t���o 4� s �r�'�,�..�rt <br />N0. �I TYPE OF FIXTURE OR ITEM <br />Toilet <br />BalhWb <br />Lavalory (wash basin) <br />Shower <br />Kilch�n sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/elc.) <br />Backflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />P RMIT# <br />O-7 (, - i O <br />CITY2IP PNONE <br />/c� G �svak, p ��� <br />PHONE <br />a r� 5�-� (Q pciTvrz�T�Jf/1'��E �c� �' <br />��273 y�61a6 <br />HEAT SOURCE <br />Eleclric Gas Olher <br />CONTRACT PRICE OF WORK <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handli�g units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Cblhes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I herehy ceritify lhat I have read and examined this application and !cnow the same to be true and cortect. All provisions ot laws and <br />ordinaces governing this lype of work will be complied with whelher specified herein or not. The grar.ling of a pertnit does not prssume <br />to give aulhority to violale or cancel the provision of any other slate or I�cal law regulating construction or lhe peAormance of <br />constructioia. Thal I am ulYorized by the owner of this property to perfortn the work tor which applicatlon is made and I comply with the <br />State Conlractors Law � 27 RCW and 296.200 WAC. <br />,��.t. (9 -��-CYi % <br />