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SITE ADDRESS <br />—% -i , —� <br />l�� ll % <br />IEGAL L07N0. <br />DESC. <br />PERMI'T APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CCDAR 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 />9LOCK <br />PARCEL TAX I.D. # <br />�^�! ��'/-Doh- <br />TRACT OR SUBDIVISION # <br />r ��«�T- f/� driN ��I��T/�r/ �iv 7 l'�7 c�'yf/ �/E-- 9�Zt� <br />TENAt�T E <br />�i-as-i� <br />PERMIT # <br />%zr�o3��Z% <br />NAM CONTACT FOR PERMIT PHONE <br />Sfl�'7-� I ,�o�✓ N=Fi� /� � .T� P. �.�y'D <br />E-MAIL <br />C NTRACTOR ADDR[SS CITYIZIP � PHONE <br />CONTR. LICENSE # <br />USE OF BUILDING <br />�F,�' <br />J � <br />WORK DESCRIPTION <br />/� z� �/%i/'����1C%��� <br />N0. � TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolh�s washer <br />Water heater <br />Sink (service/barlmop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Other <br />HEATSqURCE <br />/ <br />_ Electric V Gas _ Other <br />CONTRACT PRICE OF 1M1ORK <br />;�D lY�(� <br />//1/f���i�T�� /�l���dE-/`/�N7-S <br />NO. � TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />_ Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Uni! heater <br />Boiler <br />Refrigeration <br />Woodslove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify tha( I have read and examined this application and know Ihe same to be true and correct. All provisions o( laws and <br />ordinances goveming this type of work will be complied wi(h whelher specified herein or not The grenting of a permit does not presume <br />to c�ive aulhority lo violate or cancel the provision of any other state or local law regulaling consWction or the performance of <br />constructio at I i atdhorized by fhe o�vner ef this property �o perform ihe work forwhich applicalion is made and I comply �vith Ihe <br />Slate Co c L�� J.A.27 RCW and 296.200 N/AC. <br />