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SiTE ADORESS i� <br />_.. ,_ <br />LOT NO. <br />F'CR!MIT APPLI�ATION <br />CITY OF EVER�TT PERMIT SERVICES <br />32U0 C:EDAR STREFT, EVERETT, WA 98201 <br />425-25 �-08 i 0- FAX 42P-257-8857 - www.everettwaarg <br />APPLICATIONS ARE ACCEPTED FROM 8 AM l'O 4 PM <br />PARCEL TAX I.D. p <br />;,T" ,.� _L'C'�'�1��" c^c; <br />BLOCK 'RACT OR SUBDIVISION N <br />� AUDRESS � ^ <br />r <br />TE�NANTNAME � I CONTACTFORPLRMIi <br />�'���'�--�'"_'� - ' .��`-�` <br />CONTR. LICENSE l) <br />�; c�,�� <br />USE Of BUILDING <br />–�-/ .�� �'. ���–_"'."" <br />WORK DESCRIPTION <br />i r; <br />NO. I TYPE OF FIXTURE OR ITEM <br />--�Tailc� <br />Balhlub <br />-- Lavalory (wash basin) <br />Sl�owor <br />Kilchen sink 8 disposal <br />Uishwashar <br />Clothes washer <br />Walon c�alcr <br />Sink (sarvicelb2dmop/olr,.` <br />Backllow prev�nter <br />Urinal <br />Drinkiny fountain <br />Floor clrain <br />G�aase trap <br />� Foof drains <br />Other <br />HEATSOURCE <br />_ [ICC�fIc _� CiBs _ �)IhCf <br />-- JE MIT M <br />� �.���.� <br />yPa°�''T 3rr. r�3 � <br />� r' ✓�1��'�� <br />PHONE <br />� <br />CON'IRACT PRICE OF WORK <br />NO. I TYPE OF FI%TURE OR ITEM <br />_ A/C - air handling unils <br />_ Forced air systams <br />_ Gas piping <br />Water healer <br />Gas lireplace <br />_ Gas range <br />Clclbe, dryer <br />R�n9e hood <br />Exh: sllan <br />Heat pump <br />Unil hea�er <br />Boiler <br />Refri�eralion <br />Wood� ove <br />Other <br />–�— <br />, CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />II hereby ceritily ihal I hav� read and examinad ihis application and kno�+v ihe same to be Irue and correc�. Ad pruvlsions o( laws and <br />Inrdinacus �overnincl Ihis lype ol work will be cornplied wilh whether spocified herein or noL The grantinq ol a permit does nol presume <br />u� yive aulhonly lo viulate or cancel ihe provisiun o� any other strdo or Ioc.0 law regulating conctniction ur the peAormance of <br />i, ��onstrur,tion. Thal I am au�horzeA by lhe owner of ihis proper'ry to perlonn lhe work fnr which eppllcalion Is made and I coinply with ihe <br />� State ConlrT�:�urs law 1927 RCW and 29f;.200 WAC. <br />I �i�.—�!`n�nr/Aiil Ihnn>wAAnnnt �@'•C7/ <br />I <br />/� <br />