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PERMIT APPLICATION <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 FROM 8 AM TO 4 PM - DEBIT 3 CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS pARCEL TAX I.D. A PE IT t <br />y3o2 ZuckER AvE -(i2` <br />LEGAL LOTNO. BLOCK TRACT <br />DGSC. <br />$II�� g��Y <br />TENANTNAME <br />KE��-Y YNoo�E PA1N i S <br />CONTRACTOR ��NIER <br />N'x�Z kUu� AvE ��RETi � <br />I CONTACT FOR PERMIT <br />kb�u Han�s�N ,joNNlIC� 11A�NiER .co+n <br />iNnuslR�Es ��o <br />CONTR. LICENSE 11 � � N I I �p 66 a P <br />USE OF BUILDING <br />CoW+�cRc�a� �yA�S� <br />ADDRE55 CITYIZIP <br />IP�Y37 Ocrn��ic AvE s <br />,la�� ,-�KWi�q,wA yBiEY <br />HEATSOURCE <br />_ Electric _ Gas _ Other <br />982a3 (650)6�o-v�21 <br />PHONE <br />�?oG)Z55•56`f� <br />PHONE <br />Cy25) z5r -l8� <br />CONTRACT PRICE OF WORK <br />� 3, 6 y7. �rU <br />WORKDESCRIPTION (�� �j-jRUC�VI�iI- F'�/NEL STE�V WfQRQUEE lb SE INS'1/�LLCD BY <br />A�CR�CAN STizURJP{� �/.fC. UUrj2 I'hA/N EN7h'4NCE oF gwC.p�NC� <br />NO. I TYP� OF FI%TURE OR ITEM <br />Toilet <br />Bathlub <br />Lavalory (wash basin) <br />Shower <br />Wtchen sink & dispo�al <br />nirn�,�v���.o� <br />Clothes washer <br />Laundry tray <br />Smk (seroice/badmop/etc.) <br />�ackflow preventer <br />Unnal <br />Drinkmg Fountam <br />Floor drain <br />Grease trap <br />Rool drains <br />O�her <br />NO. � TYPE OF FI%TURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas pipmg <br />Water heater <br />_ Gas fireplace <br />Gas range <br />Cbthes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Umt neater <br />Boiler <br />Refngeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TA% COUE 151705 <br />I heieby centify that I have read and ezamined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing Ihis type of work will be complied with wheBier speafied herein or not The granting of a permit does nnt presume <br />to give aulhonty to wolate or ,;ancel the provision of any other state or local law regulating construction or the peAortnance of <br />construc6on That I am authonzed by the owner of this property to perlortn ihe work for whlch ^aplication is made and I cor,�ply with the <br />St.1te Contractors Law,18 27 RCW and 29G.200 WAC. <br />`1/2•07 <br />Date <br />� <br />Z <br />