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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.orc� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� � a 3-�(/ <br />SITE ADDRE� � U f h'��JL:� <br />G� <br />LEGA lOT NO. BLOCK <br />DESC. <br />OWN� <br />�✓I, -� � (t� 1�.�-� <br />TENANTNAME <br />�p����Yh m V � r�c� • <br />CONTR. LICENSE M�p t�,, /; N'� {Y�� I���'lL <br />� y �`.c., <br />USE OF BUILDING <br />TAX I.D. N <br />OR 9UBDIVISION � <br />CONTACT fOR PERMIT <br />I�`.�G, �MoJ�.e�r <br />PHONE <br />E-MAIL <br />���SoS �ly�"�ave;� �.�,�,��NO <br />rj�o3�, <br />HEATSOURCE <br />_ Eleclric %� Gas _ Other <br />PERMIT M <br />������ _ <br />CONTRACT PRICE OF WORK <br />✓ � / `O a�v <br />lJ <br />WOR►f DE9CRIPTION �- — � <br />e�� �'n.�J r� � (%C_ �,��1-, r�YC�'� �' „�%'✓i� n �p�+ � �'�-�10V� �`- S � �Y � \ � <br />NO. I TYPE UF FI%TURE OR ITEM <br />Toilet <br />Balhtub <br />Lavalory (wash besin) <br />Shower <br />Kitchen sink 8 disposel <br />Dishwasher <br />Clothes washer <br />Water healer <br />Sink (service/6admop/etc.) <br />Backflow preven�er <br />__� Urinel <br />Drinking Founlam <br />Floor dram <br />Greese trap <br />Rool drains <br />O�her <br />N0. <br />TYPE OF FIXiURE OR ITEM <br />A/C - air hendling uni�s <br />Forced air sys�ems <br />Gas piping <br />Weter heater <br />Gas tireplece <br />Gas renge <br />Clothes dryer <br />Range hood <br />Exhaust lan <br />Heat pump <br />Unil heeler <br />Boiler <br />Refrigeralion <br />Woodslove <br />CITY OF EVERETT LOCAL SALE8 TAX CODE 19 �106 <br />I hereby certify Ihat I have read and e�amined Ihis applicetion anA know �he same lo be true end correct. All provisions of laws end <br />ordinances governing ihis type ol work witl be comp6ed wilh whelher specified herein or not. The granting of a permit does not presume <br />to grve authorily lo violate or cencel the provision of eny olher state or local law reguleting conslruclion or Ihe perlormance ol <br />conslruction. That I em author¢ed by Ihe owner ol this property to periorm the work for which eppli:ation is made and I comply wilh lhe <br />SI2te Contrectors Law 1 B 27 R�W and 298 200 WP.C. <br />� .:��-e- 'l,lvy,y .% �3 /� <br />Sign ture ol nedConlrectorlAulhorized Agen� —1� I <br />)1/l/J � , ��1�' -- -- ---- ----- ---� <br />