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SITE ADDRESS <br />7,� Z /j/ <br />IEG� <br />NAME <br />CONTRACTOR / <br />/ t/ / G9.A /r <br />CONTR LiCENSE # <br />L �IL� <br />USE OF BUILDING <br />. <br />P�RMIT APPLICATIOI�I <br />CITY OF EVERETT PERMIT SERVICES <br />3200 C[D.AR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — v�+v,nv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />l3LOCK <br />z 7Z G <br />TRACT <br />PARCEL TAX I.O. # <br />ICONTACT FOR PERMIT <br />�O LI/A � �!� <br />ADDRESS <br />,j�, /rs '� $�Y �, � e 3G0 / �v..��%v� <br />�6m m (rc• %t � <br />2 k' Z <br />WORK DESCRIPTION <br />ff�,�G � v nry <br />L/� � <br />�/°,� ��;� y <br />PLU <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />BathWb <br />Lavatory (wash basin) <br />Shower <br />Ki�chen sink 8 disposal <br />Dishwasher <br />Clolhes wa :her <br />W atcr heater <br />Sink (service/bar/mop/etc.) <br />Backflow prevenler <br />Urinal <br />Dnnking Founlain <br />°loor drain <br />Grease trap <br />Root drains <br />Olher _ <br />NEATSOURCE <br />� �iu-o6 <br />PERMIT # <br />MU �O.0 <br />y�s=��� yzs-zs y-���� <br />PHONE <br />�f�. S' -z 3 S-/726 <br />CITY2IP PHONE <br />yl�-�z� �- Z��� <br />,Lr.�lr+E�Z/ yi?rp� <br />�' Electric _ Gas _ Other <br />CO?1TRACT PRICE OF WORK <br />,�,`z�,�_ <br />MECHANICAL <br />NO. I TYPE OF� FIXTURE OR ITEM <br />A/C — air handling units <br />� Forced air systems <br />Gas piping <br />Waler healer <br />Gas fireplace <br />Gas ra�g� <br />Clolhes drycr <br />Range hood <br />z Exhaustfan <br />= Hcatpump �� �; eyr�'u.�• y" <br />Unit ��eater <br />Bo��er <br />Relrigeration <br />Woo���ove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS �105 <br />I hereby centify lhat I have read and examined lhis application and know the same lo be true ai�d correcL All provisions of laws and <br />ordinaces goveming this type of work will bo complied with whelher speciiied herein or not. The granting oi a permit does not presume <br />lo give authonry lo violale or cancel the provision oi any other slate or local law regulating construction or the performance of <br />construclion. That I am 2ulhorized by the owner of Ihis property to perform the work for which application is made and I comply with lhe <br />State Cuntractojs Law 18.y7 RCVJ and 296.200 WAC. <br />���/ a� E -�y-06 <br />