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PtRMIT APPLICATIC�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98^01 <br />425-^"-8810 - FAX 425-257-8857 - www.everettwa.org <br />A• �� • IONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS - PARCEL TAX I. .# <br />���' S< <` 'kA, % �!�o� �cvsn�� ov <br />LEGAL L0T NO. BLOCK TRACT OR SUBDIVISION # <br />PERMIT # <br />� t�k aj- u� <br />��•�triiY"Cf/a'�/J1'L':.i. C-c�/LI fJ:J��S�C <br />� �� f1;:,,� //li-Ay �=�r �_/� �z� ��c Er�cY <br />c� r- <br />TENANT NAME I CONTACT FOR PERMIT � PHONE <br />CONTRAGiOR , <br />G'G/,/tS �-� i' lc_ri i � <br />� <br />CONTR. LICENSE # <br />USE OFBUILDING <br />AUUKtSJ � VIIT/GIY Y� <br />%C �d.L �� s..�ur= ia�i �.�c=/ �'�� <br />j 3 0/ � �,s� cf/ ,.�/ <br />HEATSOURCE <br />Eleclric Gas Olher <br />oCd� 6.rclr <br />CONTRACT PRICE OF WORK <br />WORK DE1SCRIPTION .---� � <br />C�CC7 /(i•C(.GJ !%/7c/t/J.!/) �vi'! .J/r7l'n3 .t' la).MC�17tJ �, <br />/� � � / �� �'i ��9 7B.L <br />G�(i (/G I� N� �l' �/��''r � � � SO �.C�f, � �,tJ C'� S �T ,�GU .,-r � s . <br />UO. I TYPE OF FIXTURE OR ITEM <br />Tailet <br />Balhlub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fot��'�in <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />I hereby Ferilify that I have read an <br />ordicaces goveming this lype of wc <br />to give aulhorily o violale or cance <br />construction. T I am uthorized <br />Slale Conlraclo s law 1 27 RCW <br />\ 1.�F� <br />re <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas pipinc� <br />Water heater <br />Gas �rep�ace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Bailer <br />Refrigeration <br />Woodslove <br />\ CITY OF EVERE7T LOCAL SALES TAX CODE IS 3105 <br />-�— <br />examined tjiis applicalion and know the same to be lrue and correcL All provisions of laws and <br />t wil� be wr�iplied with whether specified herein or not. The graniing of a permit does not presume <br />ha p}pvisior� of any other slate or local la�v reyulaling consWction or the pedormance of <br />r lhe o�vner q( Ihis property to periorm the work for which application is made and I comply with lhe <br />