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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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />S <br />gI-q <br />A ESS 7 PARCEL TAX I.D. 0 <br />3 1 C� <br />>`1 {�L S� <br />LEOA LOT NO. BLOCK TRACT OR SUBDIVISION!C <br />DE SC. -�� ���• ♦ l_cji-e- C� z•rvtrry <br />TENANT NAME <br />CONTR. LICENSE M - <br />r. <br />�Sll c 60,1I In, �v,le'z I ft `jF' LJIS 117 7-2l4-'77 <br />CONIAUT <br />k '-'Av< N.J A <br />USE OF BUILDING HEAT SOURCE <br />„t �r i rhtl [1C1 rrc14�(ir "'/r' Electric _Gas Other <br />J. — <br />WORK DESCRIPTION <br />NO, I TYPE OF FIXTURE OR ITEM <br />Toilet <br />I Bathtub <br />Lavatory (wash basin) <br />Shower <br />_ Kitchen sink 8 disposal <br />_ Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />BadtOow preventer <br />_ Urinal <br />_ Drinking Fountain <br />_ Floor drain <br />Grease trap <br />Roof drains <br />Other <br />IL.sI 'A <br />PHONE �1757 ,L kI J,f IC M <br />I;r1 <br />IGnt Vx yiL' (rrx'_ST nH <br />(Sy I Y1 <br />CONTRACT PRICE OF WORK <br />NO, I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />_ <br />= <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />fir--- <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />_ <br />_ <br />_ <br />— <br />Other_ <br />CITY OF EVERETT LOCAL SALES TAX CODE 153105 <br />I hereby ceritily that I have road and examined this application and know the same to be hue and correct. All provisions of laws and <br />ordineces goveming this type of work will be compiled with whether specified herein or not. Tne granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other, state or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for wfdah application is made and I comply with the <br />Slate Contractors Law 18.27 RCW and 296.200 WAG. <br />f�� <br />