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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 IPA -lb ... 17 <br />FAX 425-257-8857 — www everettwa.org <br />420-251-8810 — <br />ao---iLoy-oys <br />� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM F ?, , , RaYlttli <br />SITE ADDRESS PARCEL TAX I.D. / P RMIT 4 <br />2-0 6 a NoYT R VO �6710 _d z. <br />LOT NO. BLOCK I TRACT <br />DESC I <br />1 <br />OWNER ADDRESS CITYRJP PHONE I H1Z�✓� <br />EL'�1 �e�elopme��� , LLC. Po P>oX 13 I�JQ&-3a2� �i�� <br />TENANT NAME <br />—� CONTACT FOR PERMITPHONE <br />-ma EvEEEtt ELKS C I <br />Jerkt� �J1�S�Y�'I'1 y2S DSO (SSG <br />CONTRACTOR W611 P �(.r11>`IITS TrK.ADDRESS 15 13rESi SE CITVRJP PHONE �0U i'7! <br />r (nonYo� `dlo�l <br />CONTR. LICENSE# VJG LTeP 33GJ <br />USE OF BUILDING HEAT SOURCE CID RACT PRIIC�EOF WORK <br />p� Cvat C.. I _ Electric _ Gas _ Other 46 6 % <br />D/ V � 0 <br />WORK DESCRIPTION <br />Foy' e,r1 17r2 <br />,crtdJ W o7 �C / <br />tQ)Ih-Sin �d� 7r-1/7-) P1ztmL511z!J <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM — <br />—_air <br />AIC handling units <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />_ <br />1L <br />Forced air systems <br />Gas piping <br />Water heater UC -Iric <br />I k5 <br />77 <br />Shower <br />Kitchen sink 8 disposal <br />Gas fireplace <br />I <br />Dishwasher I <br />Gas range <br />Clothes dryer <br />T <br />Clothes washer <br />Laundry tray <br />Sink (servicelbar/mop/etc.) <br />Range haxi <br />Eealutn <br />4 <br />1 <br />Backllow preventer <br />Urinal <br />_ <br />_ <br />pump <br />Unit heater <br />Boiler <br />i <br />1-0 <br />Drinking Fountain <br />Floor drain <br />Grease hap <br />_ <br />_ <br />— <br />Refrigeration <br />Woodstove <br />Other_ <br />I <br />II <br />Roof drains II1VU.NU66 <br />other IkCY L I'nlnS <br />l <br />sari C ra <br />TrenCN e 90 <br />I <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 31CS <br />I hereby ceritify that I have read and examined this application and know the same to be true and cored. All provisions or laws ano <br />ordinaces governing this type of work will be complied with whether specked herein or not. The granting of a permit does not presume <br />to give authority to violata o col the provision of any other state or local law regulating construction or the performance of <br />conatnlctioro That I am aut on by the owner of this property to perform the work for whici :pplirafion is made and I comply w1h the <br />Sul Contractors Law 16. 7 W and 296.200 WAC. <br />V ( to- IG;-/)-7 <br />