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PCRMIT APPLICATIC�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED I"ROM 8 AM TO 4 PM <br />SITE7A� E� (,� _`hf��e�� <br />L �j��- <br />LEGAL LOT NO. BLOCK <br />TRACT <br />PARCEL TAX I.D. # <br />�11a1�i�..`zrc�Res7'n� �4u <br />TENANT NAME CONT T FOR PERMIT <br />�t'�C fi'T14P 11 �t�AllOA!/1.�F1(///�� �/%/�f" �U <br />CONTRACTOR 5��,r�F! �'��t,(�( <br />'Y <br />CONTR. LICENSE p�„ n/n. fC ��� U 1 LQ <br />�.�y—��nl�y C( «.� <br />USE OF BUILDING . <br />(�,A�)�0�1 l.dJ`1��� ^� ��y <br />3--b-O7 <br />,�7� � -��0� <br />PHONE <br />�5-33�?- <br />�3, /�Y �CITYIZIP PHON ��� ��� <br />�! ✓l� �Q� %/J�, <br />HEAT SOURCE <br />_ Electric _ Gas _ Other <br />CONTRACT PRICE OF WORK <br />i��� p <br />WORK DESCRIPTION <br />iC��1 A-xr7' ln?�fle1�)^�' �" ��5� ��a/r15 �� <br />NG <br />NO. I 1YPE OF FIXTURE OR ITEM <br />T�ilet <br />Bathtub <br />� Lavatory (wash basir.) <br />Shower <br />Kitchen sink & disposal <br />Dishwashcr <br />Clothes washer <br />W aler heater <br />Sink (service/bar/mo, /etc.) <br />Backllow prevenler <br />Urinal <br />Drinking Pountain <br />z Floor drain <br />Grease trap <br />Roo( drain �Q ' <br />_L Olher /y� �L /.i�Y7. i �%/f�/K� <br />NO. I TYPE Of FI%TURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplacc <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhausl fan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodslove <br />OlhCr <br />CITY OF EVERETT LOCAL SALES TNt CODE IS 3105 <br />I hereby ceriti(y that I have read and examined this applicalion and M,no�v the same to bs true and correct. All provisions of laws and <br />ordinaces governing this lype ef �vork will be complied with whether specified herein or not. The granling of a permit does not presume <br />to give authority to violate or canceJ thc pro��ision o( any other state or local law regulating construction or the performance of <br />constru lion. That t am authorir v th? owner of this property lo per(orm Ihe work for which applicalion is made and I comply wilh lhe <br />Slate C ntract/o�Jrs La/ye)1 8.27 RC... ,.ad 296.200 WAC. <br />., _-7 /.�..Ki � I ii „� .n n,�� � �n� 0 � <br />I�� <br />