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SITE ADORESS <br />l �1r �IC�� ` <br />DE�C <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVER[TT. WA 98201 <br />425-257-8810 — FAX 425-257•8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br />�' <br />BLOCK <br />TRACT <br />PARCEL TAx �.D. M <br />�� y���l I Ivc•I�'I `%c��� <br />TENANiNAME CONTACTFORPERMIT <br />C-�r'c"�<��✓�T7�S �/�/�;7�J C�D�-c� <br />CONTRACTOR � �' � ADDRESS ��r'rz�P <br />�:z,� �,��� �. , r ���.�,�7x <br />� �ti'7niv. L�y� �''• �T <br />1'iv.`=b� � �-, <br />CONTR.LICENSEN �.� / • <br />i__, ..-.�ir ,�'�.�.r� /.�i:�`!�)7. <br />UBE OF Bl11LDING <br />L l��c i1,�,.;�ic �� <br />HEATSOURCE <br />_ Elec6ic _ Gas _ Other <br />WORK OE3CRIPTION <br />/)�)/> ( /, ��;^�- I�. :�'�.-v.�cL�` /`��^P �J� <br />/:'`,L iZ"r�'j'� � Ji�'?/%'����a' l�l/i <br />PLUMBING <br />N0. I TVVE OF FIXiI�RE OR ITEM ND I <br />Toilet <br />Dathtub <br />LovaPory Iwash bas�nl <br />$huwni <br />IOtchen sink 8 disposal <br />Orehvmshei <br />CloHies washer <br />Laundiy hay <br />Sink IsarnceA�ar/mopletc I <br />Dacklbw preventer <br />Unnal <br />Dnnking Fountain <br />F�oor drain <br />Grease trap <br />Rool drains , <br />_� Other t I i�L S/ i� �/tii�L �7�— <br />� <br />� <br />5 —1 Z —G � <br />PERMIT N � <br />�� �!'b�-/S <br />PHONE <br />�G• �' ,�' )/ — / �,� S <br />PHONE <br />� ��, ,S' 7/ - / `�� s <br />,`�L/,V !i� fC("c`)% <br />CONTRACT PRICE OF WORK <br />�` 3�- 3c, — <br />TVPE OF FIXTURE OR ITEM <br />NC - air handhng uniffi <br />Faced air systems <br />Gas ppmg <br />Water hoator <br />Gas hreplace <br />G�srange <br />Clothes dryer <br />Range hoad <br />E.haust lan <br />Heat pump <br />UnR heater <br />�oder <br />Rehigera6on <br />Woodstave <br />Other <br />CITV OF EVERE7T LOCAL SALES TAX CODE IS 7105 <br />I hereby centdy that I have read and evamined tlus app6ca0on and know tlie same to be true and correct All provisions of laws and <br />mdmar,es govemmg tlus type ol vrorA wJl be comp6eA vnNi whether speufied herem or not The grantinc� ol a permit does rwt piewme <br />to grve autlionry to vwlate oi wncel tlie provisron of any otNer stata or local law regula6ng construction o� the pedonnance ol <br />consUu�tion Th t I ain authonzed by th§, ovmai ol vs property to pertorm the woik br vA�reh appliwhon is maAe and I wmply vntli the <br />S t? Contracto Law 1 7 RC W an�j�� 200 W C. <br />� �/J/f�' <br />�� / � � / L i C�� � l,' / l' Y � �� ��tV� <br />