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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 - www everettwaOrg <br />APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br />SITE ADDRESS <br />LOT NO. I BLOCK I TRACT <br />PARCEL TAX I.D. N <br />iiU-Oq-o to <br />PERMIT 0 <br />DESC. <br />L e(AA L- dT-' <br />& r�2 %�' I' _ <br />__— <br />OWNER <br />ADDRESS <br />CRY21P <br />PHONE ZC(, <br />' <br />Auc <br />nl&eo ��C',.4��t <br />Zt3.45no <br />TENANT NAME? mi0j,, <br />CONTACT FOR PERMIT <br />PHONE <br />�tts+ I <br />J�yy WPA <br />Jb-"1?1h,1 <br />1 <br />Z06 <br />37-S =5sj— <br />CONTRACTOR G�Gt/4- <br />L'5vj <br />ADDRESS <br />VA. z-&_'ST <br />CITy21P <br />SH %5L4X WA <br />PHONE <br />CONTR. LICENSE Fw 0' da-ZL� <br />�gl;� 2OG, <br />USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />fD�- /"'rz wic, _ Electric -XGas _ Other :� { Di BDD • "-- <br />WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basint <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (servicelbarlmopletc 1 <br />Backfiow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - au handling units <br />Forced air systems <br />Gas piping <br />Wate. heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Una heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerllify that 1 have read and examined this application and know the same to be true and correct All provisions of laws and <br />ordinaces governing this typj of work will pe pomphed with whether specified herein or not. The granting of a permit does not presume <br />to gi authority to violate or noel the ptovision of any other state or local law regulating construction or the performance of <br />SADS UGCon That I am auth *zed by tjjhit owner of this property to perform the work for which application is made and I comply with the <br />Stale,CanlraciCni.aIsA8,ORCWarr 296.200WAC (I-V00.__q/17/0? <br />1L <br />