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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257.8857 — v ww.everettwe.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM '7 <br />SITE G RESS 11 � PARCE`LDTAX I.D.NOgn c)O PE IMai1 — <br />l� rm A <br />LEG LOTNO. BLOCK TRACTOR SURDIVISION 6 <br />DESC. <br />OWNER ADDRESS CITYZP P ONE <br />TENANT NAME l CONTACT FOR PERMIT PHONEIdol,f k.\ b 417� 00 <br />C L�ILf`.�•fifl E-MAIL�W 4zb A't 1�1./C� <br />C 1 I LCI SMAA-L PHONE <br />ate �Y F 3A C r <br />Cj 6`u <br />CONTR. LICENSE t <br />USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />Q� ? Electric _Gas_ Other <br />I <br />1n`iRIPTIO J h.L�A C-�' yy\R <br />PLUMBING <br />MECHANIrAL <br />NO. TYPE OF FIXTURE OR 'EM <br />NO. TYPE OF FIXTURE OR ITEM <br />Tollel <br />Tothtilet <br />A/C — air handling units <br />_ <br />_ <br />Forced air systems <br />Gas piping <br />_ <br />i.avetory (Wp,` basin) <br />Water hooter <br />_ <br />Shower <br />Kltchen sink 8 disposal <br />G'a fireplace <br />_ <br />_ <br />Dishwasher <br />Gas range <br />Clothes dryer <br />_ <br />Clothes washer <br />Water healer <br />Range hood <br />Exhaust fan <br />_ <br />Sink (eervicerbarlmoplela) <br />= <br />Heat pump <br />_ <br />Rackflow prevanler <br />Unit heater <br />_ <br />_ <br />Urinal <br />Drinking Fountnin <br />r <br />Boller <br />Refrigeration <br />_ <br />Floor drain <br />Grease trap <br />Woodstove <br />Other. <br />Roof drains <br />- <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE Is 3105 <br />1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Iii and <br />this type of work will be complied with whether speciEed hemin or not The granting of a permit does not presume <br />ordhlances governing <br />thito viol9te or cancel the provision of any other state or local law regulating construction or the performance of <br />for which applicotion is made end I comply with tlx <br />the <br />m authoriz d M tho owner o1 th{s property to psriorm work <br />18 27 end 2 .200 WACI�onuact <br />==ZriZ7 <br />rl u boozed Agent Ghee <br />