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SITE ADDRESS <br />LEGA� ' LOT N0. <br />DESC — <br />OWNER <br />-� <br />TENANTNAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EV�RETT, WA 98201 <br />425-257-8810 – FAX 425-257-885� – www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />PARCEL TAX I.D. N <br />TRACT OR SUBDIVISION lf <br />CONTACT FOR PERMIT <br />--�PERMIT q <br />����«.-'�7i�� <br />PHONE <br />N^>- �3u ��� <br />I E-MAII <br />li LI�.iNc.nrh,._-- . � <br />, ae. y"t 1,6.v-��a 99�'ii Rs3-��,Z-v�51 <br />,!3£.ua.. l�v;•,o,.,� gE�l s� iy2 " <br />CONTR. LICENSE 11 <br />%�f/�C'Ol'Ji'�-`�C6k'C I , <br />USE OF BUILDING <br />I HEAT SOURCE CONTRACT PRICE OF WORK <br />� Electric _ Gas LC Other <br />WORK OESCRIPTION <br />� <br />�I�''�a(1_ �v�j7)>f� �-I �/f Pi•�G,,, MET75rt 7"+� �+�1 v i � <br />— PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />l oilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Waler heater <br />Sink (service/badmop/efc.) <br />E3ackllow prevenlcr <br />Unna� <br />Drinking Poun�ain <br />Floor drain <br />Grease trap <br />Rco( drains <br />Other __ <br />o. <br />NO. I TYPE OF FI%TURE OR ITEM <br />AIC - air handling units <br />Forced air systems <br />Gas piping <br />Waler healer <br />Gas fireplace <br />Gas range <br />f,lothes dryer <br />Itange hood <br />Exhaustfan <br />I leal pump <br />Unit heater <br />8oiler <br />Relrigcration <br />Woodstove <br />Other <br />CIN OF EVERETT LOCAL SALES TA%CODE IS 7105 <br />i <br />' I hereby certify that I have read and examined this applicalion and know ihe sama to be Irue and correct. All provisions ol laws end <br />ordinances governing Ihi; type of work will be complied with whether specified herein or noL The granling of a permit dces nol presume <br />to give authority to vidate or cancel Ihe piovision of any other state or loca� law regulating consWlioa6on shmade ar dalncomply wi�h Ihe <br />�i conslruction. 7 hat I am authorized by the owner o( thls property lo perlorm Ihe work for which app' <br />c�air Gontradors Law 18.27 RCW and 2�JG200 WAC, <br />