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P�MIT APPLICATIO� <br />CITY OF EVERETT PERMIT SERVICES c� �cj�.p, <br />'i200 CEDAR STREET, EVERETT, WA 98201 <br />4 �5-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />j�li � ';'�1- =. <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARF NOT ACCEPTED <br />SITE ADDRESS <br />J� <br />� �� / \ <br />L[GAL LOT NO. <br />PARCEL TAX I.D. # <br />G N7RAGTOR AWNt95 <br />� %-��f-/�Ci. � �f�. ' • <br />CONTR. LICENSE M <br />P///NN/ S DIOl�%� . <br />USE OF BUILDING HFAT SOURCE <br />� / <br />�G ������ �� —=Elr.c;rir. ✓ Gas __ Other <br />/�/ c/C <br />WORK DESCRIPTION <br />7 /��iM�f � �/�/� /_lf <br />PLUMBING <br />NO. I TYPE OF FIXTURe CR ITEM <br />z_ <br />1 �athlub <br />' Lavalory (wash basin) <br />� Shower <br />r Ki�chen sink 8 disposal <br />Dishwasher <br />Clothes washcr <br />Laundry lray <br />Sink (scrvicelbadmop/cic.) <br />Dackllow prevenler <br />Urinal <br />Drinkinq Founain <br />Floor drain <br />.. Gro.nse Ira;i <br />_ Roof drai•is <br />_ Other ----_— -- <br />CONTRACT PRICE OF WORK <br />c71.S�i � l� <br />�— 5Tv2 � <br />TYPE OF FIJ(TURE OR ITEM <br />���,,,� ���„� <br />Forocd air systems <br />Gas piping <br />Water healer <br />Gas lireplrico <br />Gas ran�a <br />Ciothr,s dryer <br />Ran�c hood <br />Evhaus� fan <br />Hcat pump <br />Unit healer <br />Boiler <br />Retri�eration <br />WooAstova <br />Other _ . . __. _ _ <br />CITY OF EVERETT IOCAL SALES TAR CODE'^_• J705 <br />I hr.roby ceritily ihat I havo ruad and examined Ihis applicallon nnd Anow Ihe same lo bo lruo and correct. All provisions ot laws an 1 <br />ordin�ces qoverning lhis type of work will bo complied wilh whelher specilied herein or nol Tho granting o( a permit d�es no� pros�ime <br />to givo authnrity lo violate or cancel Ihe provlsion ol any olher slate or local law re2ulaling consiruction or ihe per(oir�ance ol <br />cons�ruclion. Th�t I am authorimA by Ilm owner ol Ihis property lo peAorm �ho work for which application is mado and I eomply w.lh lhe <br />S!ale Coniraclors L�w 1827 RCW and 29f 200 WAC. <br />Si��nalure o OwnerlConiracladAulhorizeA Agent ato <br />