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* <br />PLr�MIT APPLICATIG�J <br />CITY OF EVERETT PERMIT SERVICES <br />3:?0 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SI7E ADDRESS <br />7aa N d,�l���Y <br />LEGAL LOTNO. BLOCK <br />DESC. �� � � <br />OWNER <br />fawNi� v% �Cl�i�A- <br />TENANTNAME <br />V� p� <br />CONTRACTOR .% p� <br />U <br />CONTR. LICENSE il <br />USE OF BUILDING <br />. . _ _ . _ � .� _ . , _ i-�, .,naw <br />PARCEL TAX I.D. « <br />TRACT <br />CONTACT FOR PERMIT <br />AD�RESS <br />HEATSOURCE <br />Eleclric _ Gas _ Other <br />(� '-s -��o <br />PERMIT tf � <br />�;, � _� <br />PHONE,�� �S¢—��1 <br />iurh 9ba�� � <br />PHONE �5 =,�/%—c�i' � <br />q�r..�ri �s <br />PHONE <br />CONTRACT PRICE OF WORK <br />�n�tio.� <br />WORK DESCRIPTION . <br />T/��.u�r ir�,�,�ac.c�ri �7— ,� �A� .4��� RF i�o�� � %u;�,eiv�.� �us ��-J <br />�./j�L� SG.4PiivG <br />NO. I TYPE OF FIXTURE OR ITEM <br />Lavaloiy (wash basin) <br />Shower <br />Kitchen sin 8 disposal <br />Dishwasher <br />Clothes �vashe <br />Laundry trey <br />Sink (serviceNar/mo c.) <br />Backflow prevente <br />Urinal <br />Floor <br />NO. I IYPE OF FIXTURE OR ITEA1 <br />A/C — air handling unils <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 />Heat pump <br />Unit heater <br />Bailer <br />Re(rigeralion <br />Woodslove <br />Other <br />GITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify lhal I have read and examined this applicalion and know the samo lo be lrue and correct. AII provisions of laws and <br />ordinaces goveming lhis type of work will be complied wilh whelher specifiod herein or noL The granling of a permit does nol presume <br />to give aulhority to violate or cancel Ihe provision o( any olher slate or local law regulaling conslruction or lhe peAormance of <br />construclioJ�. Thal I am aulhorized by Ihe owner of this property to pedorm lho work for which application is made and I comply with the <br />State CoOEractors Law 18.27 RCW and�296.200 WAC. , <br />`/J <br />