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SITE AODRESS <br />S � <br />LEGAL LOT NO. <br />DESC <br />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.org <br />APPLICATIONS ARE ACCEPTED FRQ'd B AM TO 4 pM <br />PARCEL TA% I.D. M <br />,\ �.{ _ . <br />� ��� �i_ i� �� c_�l � ZL'�-CC •I -Ci'I -r i <br />I:7[�ZN:iii:LC�ii <br />PERMIT r <br />i �� ' <br />. � „-� 'i � /L � <br />vvn/c�n nwncaa �.n nur rr�unc . - <br />/ I� ' _ I�.._���-,1.. V�.�/i �'y'���7 <br />� <br />.� i�",�.., `��'� l� 1 �."� tr ,� (�.\ ��. YC �rt� ( �:; s) �''S %�f S <br />TEHANT NAME CONTACT FOR PEPMIT PHONE <br />U � � �� <br />1 ���Ii,�,��s,��.,-, i���.�� r-'tv,�������-f1" ��i�.s�- »�. �.,�5 <br />CONTRACTOR l=� , , `/ ��'�-. , ,� �_ , , � ADDRE38 7,. �� ; . I-'r� J,4 �, � �CI'TY21P PHONE <br />/ 7 �,/ L <br />CONTR.LICENSEp 1 � FJi +�-� �IC �) - I/l'^.3•S�1 J <br />�..lc. r:.� lV L i� I 1 L. ��� <br />USE OF BUILDING <br />,��„��' l.�, ..�, „` �.,i \�. <br />WORK DESCRIPTION <br />�-,.�SI��11 � ��,,,,... � <br />I � i- �,� .\ _ �� <br />— HEAT SOURCE I CONTRACT PRICE OF WORK <br />Electnc _ Gas Olher P r. . �� � � ���� <br />� , i . � �' �. �'�' i :�.. \ ( ... � . '-�� l .-..�\ .l '�� \'i . � 1 ��. � <br />i, 1 �' > <br />N0. I TYPE Oi' FI%TURE OR ITEM <br />Toilet <br />Bath,ub <br />Lavctory (wash 6asin) <br />Shc+ver <br />Kilchen sink 8 '�sposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (sernte/barlmopletc ) <br />Backflow preventer <br />Urinal <br />Drinking Fountam <br />Floor drain <br />Grease Uap <br />Rool drams <br />Otner <br />N0. TYPE OF FIXTURE OR ITEM <br />A!C - rir hendling units <br />Forced eir systems <br />Gas piping <br />water heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Eahausl lan <br />Heat pump <br />Unit heater <br />Boiler <br />Reingaralion <br />Waodstove <br />Olher <br />I CIiY OF EV[RETT LOCAL SALES TA% CODE IS �105 <br />� I hereby rentdy that I have read and exemined lhis application and know lhe same to be true and correct All provisions of lews and <br />ordmaces governing ihis rypa ol work will be complied wdh whether specified harein or not The qrarning of a permil doos not presume <br />� to g�ve authonty lo violate or cancel ihe prowsion ol any other stale or local law regulatmg construction or the perfortnance of <br />I conslruction. That I em authorized by the owner ol lhis property to pertomi ihe work lor which application is mede and I comply with Ihe <br />�i State Coniraciors I.aw 18 27 RCW antl 296 200 WAC <br />'' i��Ii 1-_. (; � � .. .. (�%� c'- � 1 / �' L <br />I Signature o wneil oniractor/ ulhonzetl Agen1 �Gate � � <br />\ / �'� <br />�i <br />