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11/03/20�6 18:26 12538150127 <br />� <br />SITE ADDI2ESS <br />I.EGA LOi NO. I� <br />DESC. <br />OWN[R <br />�A, uN b� <br />TENAN7 NAM1tE <br />W1� <br />K�G <br />PAGE 03/12 <br />PERMIT APPLIC�4iIQN <br />CITY OF EVERETT PERMIT SERVICES <br />32�0 CEDAR STRCET�, EVERETf, WA 98201 �.L_ p Z..O� <br />425-257-f3f110 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. Fi <br />Z`jd5� oo�-ol <br />BLOCK TRAGTORSUODMSIONN <br />q�� N <br />Nr� I c��rtr�Y PEI�IM <br />l:VfiIKAl:IVK �� ����,\ <br />r+ <br />CONTi't. LICENSE A <br />US[ OFE3UILDING <br />MuC�L <br />� <br />�—� I' �aNV1I�I,VL.;. <br />HEATSOURCE � <br />� EI¢ctric _ Gae _ Other <br />pERM1T p <br />PHONG <br />-� -.3C r� <br />coNrnacr rRice o� <br />� -�,o oov a <br />�� <br />WORK �ESCRIPTION <br />s�t�ew� - p�,u�cs� �-t'��5, tt9�,w� F��z,N(,�. �hr�x, Yrops. <br />lul'G2t,u�- �C-P�,qC6 C�c.A4�CF?tJS, l,Av,'CDII.ET, TOi3� FIN1SHiD6a� I� G!ItiC <br />NO. I TYPE OF FIXTllRE OR IT[A1 <br />TOilel <br />Lavalory (wash basin) <br />Kitchen sink 8 di3posal <br />Dishwasher <br />Clolhes weaher <br />Wo;er heater <br />Slnk (servicelbadmop/etc.) <br />Bnckilow prevenlei <br />Urinal <br />Drinking 1"ountaln <br />Floo� drain <br />Grease trap <br />Rooi drains <br />Olher <br />N0. <br />TYpG OF FIXTURE Oft ITEht <br />A/C — air handling units <br />Forced air systems <br />Gas plping <br />Wotor haster <br />Gas fireplace <br />Ges renge <br />Clolhes drycr <br />Range hood <br />Exhaustfan <br />Heat pump <br />'Unit heater <br />C�7Y OF EVEFiH7T LpCAL SALES TAX CODE IS 3105 <br />I herehy cedtiFy that I have re2d and examined this app�ication end know the same In be lrue and correct. ntl provisions oi Iaws and <br />ardinaces goveming this type of work wiil bo wmplied with whether specified herein or not The g�anting oi a parmit dces not presume <br />to glve authodry to violate or cancel the pro•�isfon oi any ather state or tocal law regulatln� cnnswcnon o� tl7e pedoml2nCe oi <br />construction. That I am outhodzed by Ihe owrer of this pmpeAy to perform ihe work fur which appllcation is made and I comply wi�h the <br />State Contractors Law 18.27 RCW and 296. OD WAC. <br />h 2%�� _ ��libl �� <br />�� <br />