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� <br />P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �,; <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-25?-8857 — www.everettwa.org <br />APPLICATIUNS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />y s � y' /�rb.�Au,r,� <br />LEGA LOTNO. BLOCK TRACT <br />DESC. <br />PARCEL TAX I.D. N <br />'� <br />i <br />_�Tc� o rJ 1� �'� 2 �3 wAY r�a.s .2s-�-s �. � 1 <br />TENANT NAME I COKTACT FOR PERMIT PHONE <br />CONiRACTOR ��Q /� %�p�i���� ���„� G„yW ADURESS (O��y !�-��-� �-� CITY2IP PNONE <br />se� �s�-�qv <br />CONTR. LICENSE p AArt /IOR� �/aS�y' � <br />USE OF BUILDING <br />WORK DESCRIPTION %� L�R�C � <br />GL�1 <br />u <br />TYPE OF FIXTURE OR ITEM <br />Tailel <br />Balhlub <br />Lavarory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Water hoater <br />Sink (servicc/bar/mop/cic.) <br />BackOow proventer <br />Urinal <br />prinking Fountain <br />Floor drain <br />Greaso lrap <br />Roof drains n <br />Other rc-��'�t• <br />HEATSOURCE <br />Electric _ Gas _ Olhar <br />��ys��i,.. qs-i y�' qyi-� 3 �-y91-1 <br />CONTRACT PRICE OF WORK <br />stt t�.c / K/'/C.t /` <br />NO. � TYpE OF FIXTURE OR ITEM <br />A/C — a(r handling units <br />Forced a(r syslems <br />Gas piping <br />Water hoalor <br />Gas fireplaco <br />Gas range <br />Clothes dryer <br />Ranga hood <br />Exhausl fan <br />Hoal pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX COD� IS 7705 <br />I horsby ceritify lhal I have read and examined this applicalion and know the sama to bo true and correct. All provisions of laws and <br />ordinaces governing lhis fypo of work will be complied with whether specified herein or not. The granting of a pemiit does nol prosume <br />lo give authorily fo violale or cancal �ho provisi�m of any olher state or local law regulating consWcdon or the perfortnance of <br />amstruction. That I am aulhorizod by the owner of lhis propeAy lo perform lhe work for which application fs made and I comply wilh lhe <br />Slate Contraclors Law 1827 RCW and 296.200 �NAC. <br />