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Feb-10-12 02:09P <br />P-01 <br />PERMIT Al2PLICATION <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 a AM TO 4 PM -a I p f Z <br />SITE ADDRESS <br />_/Y!�� /(-7l,ST _ <br />-21CAL LOT NO. BLOCK <br />HF.- OWNER-- <br />TENANT NAME <br />CONTRACTOR--- <br />G y/�LIYv .�Y /•i � SYl'L <br />CONTR. LI NSE # - <br />- <br />USE OF BUILDING <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />CONTACT FOR PERMIT <br />HEATSOURCE <br />Electric '--/ Gas_ Other <br />WORK DESCRIPTION <br />n <br />/�C lo x; <br />NO. <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />_' TuBrt <br />Bathtub <br />_ Lavatory (wash basin) <br />_ Shower <br />_ Kitchen sink 8 disposal <br />_ Dishwasher <br />_ Clothes washer <br />_ Water heater <br />Sink (servico/bar/mop/etc.) <br />_ Backflow preventor <br />_ Urinal <br />Drinking Fountain <br />Flour amity <br />_ Crease trap <br />_ Root drains <br />Other <br />. ---- <br />PERMIT # <br />)ta0a-0t4s <br />PHONE <br />CONTRACT PRICE OF WORK <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />AIL; - air handling units <br />Forced air systems <br />_ Gas piping <br />Water hooter <br />Gas fireplace <br />_ Gas range <br />Clothes dryer <br />_ Range hood <br />Exhaust fan <br />Heat pump <br />_ Unit heater <br />_ Boller <br />_ Refrigeration <br />_ Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordiriacos governing this type of work will be complied with whethor:;pacified herein or not. The granting of a permit does not presume <br />to givn authority to violate or cancel the provision of any other stale or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to prrform the work for which application is made and I comply with the <br />Slate Contractors Law 18.27 RCW and 236.200 WAC. <br />/0—/Z- <br />