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SITE ADDRESS <br />� <br />NO. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREE'f, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - �rrww.everettwa.org <br />APPLICATIONS ARE ACCEPTED FRt)M 8 AM TO 4 PM <br />BLOCK I TRACT <br />PARCEL TAX I.D. # <br />P�ER^MIT p <br />"I L � <br />�c r�-i LovZ1eS5 ZU�S 12��� �L X" [,vcrr-l-4- 425-}s�'�-59�N <br />TENANTNAME I CONTACTFORPERMIT PNONE <br />CONTRACTOR <br />CONTR. LICENSE ft <br />USE OF BUILOING <br />5,.,o�i� �=�.M;iti <br />WORK DESCRIPTION <br />��icr l <br />�C' `l �C�C;riC r— <br />ADDRESS �i��j�I���rJ CITY2IP <br />Av� �i= �j`�jL <br />HEAT SOURCE <br />_ Electric �Gas _ Olher <br />rvr ��A�� �c;Plc>.�cG�F��-f- <br />N0. I TYPE OF FIXTURE OR ITEM <br />Todrt <br />Bathlub <br />-- L.walory (wash basin) <br />Showcr <br />Kilr.hen sink 8 dispos.il <br />Dishwashcr <br />Gothes �vasher <br />�Valcr heatcr <br />Sink (serviceNar/moplela) <br />f3ackllaw proventcr <br />UrinN <br />Drinkinq Fountain <br />Floor drain <br />Groase irap <br />Rool drains <br />Othcr <br />PHONE <br />u254�4i� 971`I <br />CONTRACT PRICE OF WORK <br />2� a0 <br />NO. I TYPE OF FI%TURE OR ITEM <br />0.�C – air I�andlin9 units <br />Forced air systems <br />Gas piping <br />Waler healer <br />Gas lireplaco <br />Gas rangc <br />Cblhes dryer <br />Ran�ehood <br />Fzhauslf.+n <br />Heat pump <br />Unit heiler <br />Boiler <br />Refriycration <br />Woodstove <br />O�hor <br />CITY OF EVERETT LOCAI SALES TAX CODE IS 7105 <br />I hereby ceritily that I havn read and examined lhis application anA know Ihe same to bn Irue and cortecL All provisions ol laws and <br />ordinaces governing this lypo of work will bo complied wilh whelher specilied herein or nol Tho �ranling of a permit does nol presuma <br />lo givr, aulhority lo violale or cancel tho provision o( any other slale or local law re�u�aling construclion or Ihe performanco ot <br />construclion- That I am authorized by �he owner ol this property �o peAorm Ihe work for �vhich applicalion is made and I comply with Ihe <br />Stalc Conlradors Law 18 27 RCW and 2�JG.200 WAC. <br />/�i. ��,<'. -.__—�-- -3-"i — �� <br />