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SI7E ..ODRESS <br />: .71_1 <br />LEGA LOT NO. <br />DESC. <br />TENANT NPME <br />I�ERMIT APF'LICATIVN <br />CITY OF EVERETT PERMIT SERVICES .,� `� �°b <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.evereltwa.org <br />AF'PI.ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. p <br />���vck�t i���� <br />BLOCK I TRACT <br />PERMIT # <br />ADDRESS CITY2IP PHONE <br />ICONTACI FOR PERMIT <br />CONTRACTOR C �y.� �I ��� � � T" AUDRESS ZlZ /F+�<<'•5 �'^ <br />., -i^ iAvi � E � <br />CONTR. LICENSE A <br />TV�T1KGi'�1 <br />USE OF BUILDING <br />WORK DE �CRIP710N <br />NO. � TYPE OF FIXTURE OR ITEM <br />�_ <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposai <br />Dishwasher <br />Ciothes washer <br />Waler heater <br />Sink (service/barlmop/etc.) <br />Backllow preventer <br />Urinal <br />Diinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />HEATSOURCE <br />Electric _ Gas _ Olhor <br />PHONE <br />Y21P P�iUNE <br />�.•:.�.F V!✓�re� {L•%..t//L- <br />7$27j <br />CONTRACT PRICE OF WORK <br />� `'._— <br />G,_C.� <br />NO. I TYPE OF FIXTURE OF ITEM <br />A/C — air handiing units <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unil healer <br />Bailer <br />Refrigeralion <br />Woodstave <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify that I have read and examined lhis applicalion and know Ihe same to be lrue and correcL All provisions of laws and <br />ordinaces goveming this type of work will be complied �vith whather specified herein or nol The granling o( a permit does not presume <br />to give authorily lo violate or cancel the provision of any othcr slate or local law regulaling construction or the performance ot <br />construction. That 1 am authorized by Ihe own�.r of this property to perform lhe work for which applicalion is made and I comply with lhe <br />Slatc ConlracloryLaw 182J7 RCW and 296.200 WAC. <br />-- i ..'� S— S/- c� C` <br />