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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.evcrettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />915 93,C0 s-T sw <br />DESC. <br />PARCEL TAX I.D. # <br />LOT NO. I BLOCK I TRACTOR SUBDIVISION # <br />PERMIT # <br />CITYIZIP PHONE <br />/elms za> GArm,/Orl _9P%dq N2ij4-7-7380 <br />TENANTNAMF ..QQCC�O��NTACT F[0 PERMITPHPHONE / C/ <br />l py"I f) / �'zCL/I F 1425E -7,9MAI; � l/& 7 <br />- t0NTRAzTj5R I II bAF---- <br />DAV d-A1iiE RmLt,. a-NT&• 1(,G/it /'W/{r(.to LyNv <br />CONTR. LICENSE # , , -, „„ QC» r2-7 <br />USE OF BUILDING HEAT SOURCE rC}O�NTRACT PRICE OF <br />WORK <br />Electric gGas —Other Yt' ��j%, 0 <br />WORK DESCRIPTION <br />6715 CvAt-e- —r#J 547,w LOCA1_700/ . <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (servicelbarlmoplelc.) <br />Backftow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heal pump <br />Unit heater <br />Boller <br />Refrigeration <br />Woodstove <br />Other &A 4ICZA CZ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify that I have read 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 complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other slate or local law regulating construction or the performance of <br />.onstruclion. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />