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PER11lIIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everetiwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />( ����it, 1� 'if <br />LEGAL LOTNO. � <br />TENANTNAME <br />l�'`�`� � � <br />CONTRACTOfI <br />ELOCK <br />PARCEL TAX I.D. N <br />) �k'`i S�� <br />(' ���r. 5 <br />� V �.�_ <br />CONTACT F�)R PERMIT <br />� a�� �-- ti ), <br />ADDR[55 <br />�i 9 �06 <br />P�RMIT M - <br />� 1 �., <br />PHONE <br />�_ ,�,�� <br />PHONE . <br />yz � ��`y <br />PHONE <br />CONTIR. LICENSE M �- �1 / <br />—fi�y�: L�l'=-� �—I—(�. �—_�r� S V �f vC_ <br />USE OF BUILDING HE4T SOURCE CONTRACT PRICE OF WORN <br />�) _ Eleclric c/�as _ Other � � � �.1(J� ` . <br />.l''re s------ <br />i <br />WORK DESCRIPTION I <br />T- � � P.'1 I' . /� �''q ���' f7+o��orT - ��/� <br />= �i<�i,�� f�� il�_,i ;.�� h�`-���" �� �, �7`- <br />�a-� 'a "''� �<, � <br />NO. I IVPE OF FIXTURE OR ITEM <br />� Toilot <br />T Balhtub <br />�__ Lavelory (wash basin) <br />1_ Shower <br />Kitch�n sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (sarvicelbar/mopleic.) <br />. Backllaw prevenler <br />Urinal <br />Drinking Founlain <br />Floor drein <br />Grease Irap <br />Roof Arains <br />Olher <br />NO. I TVPE OF FI%TURE OR ITEM <br />A/C - air handling units <br />Fotced air syslems <br />Gas piping <br />W alor heater <br />f;aa lireplecr <br />Gas range <br />Clathes dryer <br />Range hood <br />Exhausllan <br />Heal pump <br />Unit healor <br />Boiler <br />Relrigeration <br />Wondstove <br />CITY OF EVERETT LOCAL SALE5 TAX CODE IS J105 <br />i hereby r,eri�ily Ihat I have read end eMamined �his applicalion ar,d knew the same to Ire Irue and correr.t. All previsions of laws and <br />�.�rAmar,r,s gov�rniny this typo ol work will be complied with whelher specified herein or noL The granling of a peimit doas nol presume <br />to yrva aulhonly to violate or cancel the provision ol eny other slate or locnl law regulaling construc�lon or the perlormance oi <br />ronstrur,lion TI}et I am aulhorizeA by Ihe owner of Ihis property to peAorm the work lor which appllcalion Is made and I comply with the <br />Stale Cuntrni;tors law 182 RCW and 296.20014 AC. <br />. i -- ' �- � C� <br />°.�qhal . nl Own d tractor/Aulhonzed A[�enl � Dele � <br />L <br />