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SITE ADDRESS �}{-10� <br />NO. <br />�Jp •i- \Yl. s � Pi <br />TEhANTNAME (,� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — �r�vvw.everettwa.org <br />APPLICATIOIJS ARE ACCEPTED FROM 8 AM TO 4 PM <br />����;-3 Z� <br />Ve F- � <br />BLOCK TRACT <br />PARCEL TAX I.D. # PERMIT if <br />iS��OGZbZ 3b0 (3Gcn61'G�i <br />V � q I CONTACT FOR PERMIT <br />PHONE <br />�a�ad �{fFfL-�cNeZ <br />(� �/z5) Z5� 'z � r <br />CONTRACTOR ADORESS CITYlZIP PHONE <br />CONT"t. LICENSE # <br />USE OF BUILDING <br />WORK DESCRIPTION <br />�eS�C�.V <br />N0. <br />� C1'i�— \ <br />TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhlub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Water healer <br />Sink (serviceNadmop/elc.) <br />Back(low prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />HEATSOURCE <br />_ Electric �' Gas <br />Olher <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A!C — air handling units <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhauslfan <br />Heal pump <br />Unil heater <br />Boiler <br />Re(rigeralion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX COUE IS 3105 <br />I hereby cerilify thal I have read and examined lhis applicalion and know tlie same lo be lrue and correcl. All provisions of laws and <br />ordinaces goveming lhis type of work will be complied wilh whelher specified herein or nol. The granling of a permit does not presume <br />lo give aulhority to violate or cancel Ihe provision of any other slate or local law regulatlng construclion or lhe pedormance of <br />conslruction. That I am aulhoriz�d by the owner of this properly to perform lhe �vork for which applicalion is made and 1 comply wilh lhe <br />Slale Coniractors Law y8.2J RCW and 296.200 WAC. <br />yG <br />