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PERMIT APPLICATION <br />CITY QF 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 <br />SITE ADDRESS <br />�3v 56 �'��eET��/�GL ��A <br />LEGAL LOT NO. BLOCK <br />DESf:. <br />OWNER <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />1'� <br />/y;4 � vcs� G.�<�.s�a,c- c'��.�t� <br />TENANTNAME <br />7 <br />� 3o s E���.-ctf, c��.� dC6 d�o,6-y�2 <br />n, a i ,��.v� <br />CONTACT FUR PERM;T <br />-� 1-1 l �x <br />-- �l�Sc f CtJzs� �/�r-j",�L C�6%o!y'�ro <br />CONTR. LICENSE # CNG` �91? G /%� :� I� C/`2�iG ��.. <br />USE OF BUILDING <br />N K DE� <br />Cu, < <br />� ; Lcil oc, <br />HEATSOURCE <br />Electric Gas Other <br />,:'° �fc�vs.,s <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwashor <br />Clothes washer <br />V� aler heater <br />Sink (service/b�r;mup/etc.) <br />Back(low preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Olher ^ <br />i hereby ceritify lhal I <br />lo gi����thor� lo viola <br />cons r c on. hal I am ; <br />State C i lrac rsLa�v I <br />PHONE � 0,6 o'LcLF � Si(.� <br />E-rna� 6�oe�✓s s F' �/ � %� �i <br />�ayti���,, �����acEdd.�,ds�a9 <br />�=� 3 3Y 7�- <br />I CONTRACT PRICE OF WORK <br />Arcess��y �e_1;y���yc)r�y��,� <br />M� �,� ��� �-� 1 s r f 1 o u�: �...Nu� <br />�` i�R Jt1ilv�n-� (,e1��Au <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clothes dryei <br />Range hood <br />Exhausl fan <br />Heat pump <br />Unit heater <br />Boiler <br />Re(rigeretion <br />Waodslove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />id end examined lhis applicalion and know the same lo be true and correcL All provisions of laws and <br />o( rk will be complied with whether speci(ied herein or nol The granting of a permit does not presume <br />anc I lhe provision ot any olher state or local law regulating construction or lhe peAormance o( <br />`zed y lhe owner of Ihis property to peAorm the work for which applicalion is made and I comply wilh the <br />2CW nd 29G.200 WAC. <br />`I <br />z <br />