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SITE ADDRESS <br />�a i - ��{�, <br />LEGAL LOT NO. <br />�ESC. <br />OWNER <br />�TNi E <br />CONTRACTOR <br />CONTR. LICENSE # <br />LE< <br />USE OF BUILDING <br />6�= �- <br />WORK DESCRIPTION <br />PERMIT A�'PLICATION <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 S AM TO 4 PM <br />I PARGEL TAX I.D. # <br />BLOCK <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet � i 1 <br />Bathtub � ; <br />Lavatory (wash basin) � I I I�, <br />Shower � <br />Kitchen sink & disposal I <br />Dishwasher <br />Clolhes washer <br />Laundry iray <br />Sink (servicelbadmop/etc.) i <br />BackFlow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Gease trap <br />Roof drains <br />Other <br />TRACT <br />CONTACT FOR PERMIT <br />= f�Vl i� :��-,c� c� ..-.� <br />/a\7N:7��-9 <br />C TY21P <br />HEATSOURCE <br />_Electnc �Gas._Other <br />� ',� L �— , � C'% <br />PERMIT # <br />�a�-�7�-ov5 <br />PHONE <br />�g yZs��l���3 <br />yL �X+• Z 2 9 <br />PHONE <br />,. _ s <br />PHONE <br />: '. 1 . <br />CONTRACT YRICE OF WORK <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />I Forced air syslems <br />� Ga< piping <br />i Wa'sr heater i <br />� Gas fireplace I <br />i Gas rang2 <br />I Clothes dryer <br />I Range hood <br />� Exhaustfanli'� i I�� <br />Heatpump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />i� <br />CITY OF EVERETT LOCAlSALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to he true anC correct. All provisions of laws and <br />ordinaces goveming this type of work will be complied with whether specifed herein or noL The granting of a pertnit does not presume <br />to give authurity to violate or cancel the provision oF any other state or local law regulating consiruction or the pedormance of <br />construr,tion. That I am authorized by the owner of this property to perfortn the work tor which application is made and I comply with the <br />