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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everetlwa.org <br />APPLICATiONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />�� �� � . � <br />LEGAL LUTNO. BLOCK <br />DESC. <br />OWNER <br />�=i ��-_�- C�1�A/C:(��� <br />TENANTNAME <br />NTRACT R �/ <br />TI �2�: (�[�/!V� ✓L� <br />CONTR. LICENSE II <br />USE OF BUILDING <br />PA�R-7CEL TAX I.D. # <br />�D / U8��00 <br />TRACT OR SUBDIVISION / <br />�� <br />CONTACT FOR PERMIT <br />Y1-itiS��.- � 1 •rY �4- <br />HEATSOURCE <br />Electric _ Gas _ Other <br />�✓� �(_�T. <br />tMIT # <br />OG�?- �'< <br />—"7S s =7.a- <br />CONTRACT PRICE OF WORK <br />�00,00 L <br />WORKDESCRIPTION M�Ii;--.�,� v�/�I—Z.-��- ,J•c•�POL`� (�L.r�- ��PC��`%�^�� ��, <br />1-(�'.cn-. L,.," g Si- PL= S tt..r-UPF Tt� zar-��1�'.�t- t l+x-�J � S"�-fWTc�F'� <br />%�UL.�/ jj�,4TyL t r�� CUC.D> 2�=Y�. r�[:�/� �:=3i-1- %�, �JC .�NC�./ � <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />BathWb <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/badmop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease irap <br />Roof dreins <br />Olher ��i.(Di'�-`—_(__ <br />LiN� <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air haodling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas freplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaus� fan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CIN OF EVERETT LOCAL SALES TA.Y CODE IS 3105 <br />I hereby certify that I have read and examined lhis application and know the same to be true and correcl All provisions of laws and <br />ordinances governing lhis type of work will be complied with whether specified herein or not. The granting of a pertnit does not presume <br />to give authonty to violate or cancel the provision o� any o�her slate or local law regulating consWction or Ihe performance of <br />construclion. That I am authorized by lhe owner of this property to per(orm �he work (or which applicalion is made and I comply vnth �he <br />Stale Contr�tors Law 18.?7 RCW and 296200 WAC. , <br />