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SITF ADDRESS <br />��� <br />LEGAL I.OT NO. <br />DESC. <br />TENANTNAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3G00 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />o , .- <br />IZ� r u�/!C �jt«e(L <br />CONiACT FOR PERI <br />a.(�P %-,�-2 <br />l: V fV I KAG I Uft HuuRCJJ �� � nur <br />�iQ.w�o>-�d. C. a, S(-sv-�-f -i v„ r'7Q. ,r v i'c-�s ��� <br />CONTR. LICENSE A �S� w�O� �i �JSc�2� ���1 � ? ' "�a <br />/ ,� 9s�.rZ f4-� �,�.� - <br />USE OF BUILDING <br />�J�E-+`-�' <br />HEATSOURCE <br />_ Eleclric _ Gas _ Other <br />;._ - <br />�. ,., ��; �. <br />,��.�� <br />S'�iaf/� <br />PHONE .�53— �g�'• 3j�S <br />E-MAIL �n-��' --��-�Q� C`G <br />Q� � <br />�,� ��o�� <br />CONTRACT PRICE OF WORK <br />�f' �'� <br />WORK DESCRIPTION /�� � G� `'��� � I ���1��, ��.� /'� <br />f <br />f <br />� <br />1 <br />TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balh�ub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water healer <br />Sink (service/bar/mop/etc.) <br />BackOow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greaselrap <br />Roof drains <br />O�her <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 />Exhausl fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove '�p <br />_� Olherddd�/, yy-�st<— <br />CIN OF EVERETT LOCAL SAi_ES TAX CODE �S 9105 <br />I hereby certi(y lhat I have read and examined this applicalion and know lhe same to be (rue and correcL All provisions of laws and <br />ordinances governing lhis lype of work will be complied with whelher specified herein or not. The granling of a permit does not presume <br />lo give aulhorily lo violale or cancel the provision of any olher slale or local law regulating conslruclion or the performance of <br />construction. Thal I am authorized by the owner of ihis property lo perform the work (orwhich application is made and I comply with the <br />Stale Copiraclors Law 1§.2% RCW and 296.200 WAC. <br />