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PERMIT APPLICATION <br />CITY OF EVERETT PERMI'T SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-885i — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE N07 ACCEPTED <br />TENANTNAME <br />J ��BLOCK TRAC7 <br />TAX I.D. N <br />0 <br />t PERMIT <br />-. r <br />CO TR CTOR ADORESS <br />�� �n �VoMe� Jnc. �an,� a5 v�n� <br />CONTR.UCENSEN �qtiYssHza55c3 <br />USE OF BUILDING <br />F <br />WORK DESCRIPTION <br />NU. I TYPE OF FI%TURE OR ITEM <br />Todet <br />bathlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sin� 4 disposal <br />Dishwasher <br />Clolhes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Giease trap <br />Rcol drai�s <br />Olhor <br />HEATSOURCE <br />_, Eleclric �Gas _ Other <br />NO. <br />p6RMiT X <br />> � _ ,, . <br />�_ i-'� � � ".rL� <br />1,�-i�x-�f <br />CITVIZIP pHONE <br />�E(G� �lg�(� �iZ�' u�f��i�(a4 <br />PHGNE <br />l <br />CITYIZIP PHONE <br />u�-�3�-�a�R <br />ICONTRACT PRICF OF WORK <br />- �`L� Iq� <br />���.((�v <br />MECHANICAL <br />TYPE OF FIXTURE'JR ITEM <br />AIC — au handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireF�ace <br />Gas range <br />Clolhes dryer <br />Range hood <br />EMhaustfan <br />Heat pump <br />Umt healer <br />Boiler <br />Relrigeration <br />Woodstove <br />Olher _ <br />CITY OF EVERETf LOCAL SALES TAX CODE IS 7105 <br />I here6y cerihly lhat I have read end eramined lhis applica6on and know the same to be true and mrrect. All provisions of laws and <br />ordinaces goveming th�s type of work will be complied wdh whelher specifed herein or nol. The grantmg ol a permit does not presume <br />to givE aulhorily to violate or cancel Ihe provision ol any other stale or �ocal law regulaling conslruc6on or lhe pertormance of <br />constructwn That I am authorized by the owner of Ih�s property lo peAorm the work for which appliwtion Is made and I comply with the <br />Slate Conp�ctors�.aw 1827 RCW epd 2�96 20�WAC � � <br />