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SITE ADDRESS L <br />LOT NO. <br />TENANTNAME <br />�..,....��..,,. ��y��U <br />CONTR. LICEN3E # ��',�I <br />USE OF BUILDING <br />�'/�l//�"�' <br />WORK DESCRIPTION <br />PERMIT APPLICATION <br />CITY OF F_VERETT PERMIT SERVICES <br />3200 C�EDAR STREET, EVERF.TT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />-vP�li <br />BLOCK <br />L� <br />�C9 1,�-� <br />PARCEL TAX I.D. # <br />OR SUBDIVISION il <br />FOR PERMIT <br />PERMIT # <br />l� � �, � D�Z <br />/21P PHONE <br />wfi <br />PiiONE ��j �D � L'GI 'I�y <br />/ <br />e-Ma� �%,�.c' ` , � �.rc.. <br />y'�� �M �`4��� 3 W� 3�o-��i- �.S <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />_ Eleciric _ Gas _ Other ��� <br />�v�� �� S��y�/,�e� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Ki�chen sink & d:�posal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (servicelbar/mop/etc.) <br />Backtlow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Other <br />,����,� �'/I�e� <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas tireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhauslfan <br />Heat pump <br />Unil heater <br />Bo:ler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify ihat 1 have read and examined this apalication and know ihe same to be true and correcL All provisions ot laws and <br />ordinaces governing this type of work will be complied wilh whether specified herein or not. The granting of a permit does nol presume <br />to give autliority to violate or cancel the provision of any other state or local law regulating consiruclion or the performance of <br />conslruction. Thal I am aulhor' ed by��� ie wner of this property b periorm the work for which applicalion is made and I comply with the <br />Slate CcMraclors La���� atid�6200 WAC. / <br />/�J/ � �� .�l/P <br />��Z <br />