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f' ;RMIT APPLICATI�, N <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 />ai i HUURCJJ <br />�`I -ii� % �L <br />l. <br />LEGAL LOT NO. I <br />DESC. "3,�_ �-`' <br />OWNER <br />ij <br />,.�12A � <br />TENANT NAME <br />% <br />RACTOR �i�, .�,� <br />LN.7 / <br />CONTR. UCENSE # � <br />USE OF BUIL•DING <br />r � � � <br />�,��«(l��-��� � `���, <br />WORK DESCRIPTION <br />, �� . <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhlub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water healer <br />Sink (service/badmop/etcJ <br />�ack(low preventer <br />Urinal <br />Drinking Fountain <br />Floor-drairr- <br />Grease irap <br />Roof drains <br />Other <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION <br />I I: ti- �- n i�). <br />FOR PE MIT <br />� �i <br />PERMIT # <br />�I (�Uy - ov� <br />:- �/Ck��l-IOJ� <br />_ F�{J,�f:Y�Y1'\`1V� <br />PHONE � <br />�fa�)�G—l5� <br />E-MAIL _ <br />. HEAT SOURCE i CONTRACT PRICE OF WORK <br />�Eleciric _Gas Other <br />�r»�,�� ��o�v�M o,� m��,� ,�� <br />uN,+� <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water hea�er <br />Gasfreplace <br />Gas range <br />� Clothes dryer <br />Range hood <br />� Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />_ Re(rigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />� hereby certify lhat I have read and examined this application and know lhe same �o be irue and correct. All provisions of laws and <br />ordinances governing lhis rype of work will be complied wilh whether specified herein or not. The granling of a permi� does not presume <br />lo give aulhority lo violale or cancel �he pwvision of any olher sta!e or local iaw regulaling conslruction or the peAormance of <br />consiruciion. That I am authorized by �he owner of this propeRy lo perform lhe work for which application is made and I comply with the <br />Slate�ontraclols Law 18.27 RCW and 2�J6.200 WAC. <br />�' ' C <br />� a�; ��, , ��- i -� .n <br />Signature of OwnedGonlractor/Authorized Agenl ale ,/ <br />i� <br />