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�'ERMIT APPLICATIG�� <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 FROM 8 AM TO 4 PM <br />SITE DRESS <br />j � `t �� ��'�-' <br />LGGAL LOT NO. BLOCK <br />LESC. <br />0�1 NER ( <br />��\QI,J;�= � t--�C� � � �'� lt� <br />TENANTNAME <br />CONTR. LiCENSE # � ��� �v <br />L/ <br />USE OF BUIL�ING <br />PARCEL TAX I.D. # <br />G��1 �C�IC� �C;C�c�c7 <br />TRACT OR SUBDIVISION # <br />CONTACTFORF <br />� ��Cl l,u �J <br />HEATSOURCE <br />_ Eleclric _ Gas <br />WORK DESCRIPTION <br />��c(� f�,��,v�J �.,� �v��cJ�/tl <br />NO. I TYPE OF FIXTUR[ OR ITEM <br />Toilel <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (servicelbadmop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Ofher <br />Olher <br />PERMIT# <br />> � 7 ;�% -/� <br />� <br />PHONE <br />�i'�'; i.�' � �%' �J <br />PHONE <br />E-MAIL S�ll�thlhJC���%.\ L`�' IMSr', <br />PHONE L ��'4� <br />CONTRACT PRICE OF WORK <br />NO. I 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 />Cloihes dryer <br />Range hood <br />Exhausl (an <br />Heat pump <br />Unii heater <br />Boiler <br />Re(rigeration <br />Woodstove <br />Other _ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby ceriti(y lhat I have read and examined lhis application and know the same to be true and correct. Atl provisions of laws and <br />ordinacas governing this type of work will be complied with whether specified herein or not. The granliny of a permit does not presume <br />to give authority lo violale or cancel lhe provisio f any other state or local law regulating consWction or ihe performance of <br />conslruclion. That I am authorized by the own ,r o lhis property lo per(orm ihe work for �vhich application is made and I comply with thn <br />Statra.Gcinlractors L.aav�18.27,i�CW and 296. 00 AC. <br />-�.� " O% <br />Date /� <br />