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PIRMIT APPLICATIGW <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org /�� ` r� On` <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRE S PARCEL TAX I.D. A PERMIT # <br />C�0 73R'�5T 5, c Z 05'081002_01100 I C' Sib z q <br />LEGA LOT NO. BLOC'( TRACT. <br />DESC. <br />OWNER - ADDRESS CITY/ZIP PHONE y2S_3cj.73 0 <br />aR)nj_es coN. z2 S�ta,� N.E QFT %70 <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />-:50E(- 14N)C C 435-2-90-242-9 <br />CONTRACTOR ADDR SS CITYIZIP PHONE <br />I-IAWA( 99011leVSctisT. 3Ot A elk At-")-E EvcRe'iT 9rd�7 4�-S-3CO--1360 <br />CONTR. LICENSE 0 <br />USE OF <br />O``S � F BUILDING I — HEATSOURCE CONTRACT PRICE OF WORK <br />(Ew FElectric kGas_Olher I I Zu K <br />WORK DESCRIPTION <br />�As�� ►gyp <br />PLUMBING MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (servicelbar/mop/etc.) <br />Backtiow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />_ <br />A/c — air nanming units <br />Forced air systems <br />Gas piping <br />_ <br />Water heater <br />Gas fireplace <br />Gas range <br />I <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />_ <br />Heal pump <br />_ <br />Unit heater <br />_ <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have road and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinates governing this type of work will be c mplied wills whether specified herein or not. The granting of a permit does not presume <br />to give authority t violate or cancel the provisi of ny other state or local law regulating construction or the performance of <br />construction. The 1 m authorizesa�by the owns f Is property to perform the work for which application Is made and I comply with the <br />...,,. <br />Z/J <br />