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r � <br />P�.RMIT APF'LICATiC►�� <br />CITY OF EVERETT PERMlT SERVICES <br />3200 CEDNR STREET, EVERETT, WA 98201 <br />425-257-881 U— FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT R CREDIT CARDS ARE MOT ACCEPTED <br />SITE ADDRESS I PARCEL TAX I.D. # PERMIT #� <br />�o?o NDYT .a?-,c�r_ . I Oo��' zi o i��]� %V� S���- O�� <br />LOT NO. I BLOCK I TRACT <br />KGeNG <br />TENANTNAME <br />� <br />Lc-c� l� D3 0!-lo yT .�! „e- � <br />CONTACT FOR PERMIT <br />�,�-� . ��,.�,r,( <br />PHONE <br />Le� �s-�, �- �o � � <br />CONTRAC70R ADDRESS f{� C�N21P <br />�7lu�w� Z.�,.cr,�,� Zac . ��3z �7 �. SW .' ser� � <br />CONTR. LICENSE # M ����� a � / \ � n/�� % �� <br />/ i �+-�.S ' / <br />USE OF BUILDING <br />�Y�.. � J�e!% <br />WORK SCRIPTION <br />e�,L�(A.4f �� � <br />I�P71 <br />/o � �JPe I <br />NPE bF FIXTURE OR ITEM <br />Toilel <br />Bathtub <br />Lavalory (wash basin) <br />Shaw�r <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Laundry tray <br />Sink (service/barhnopletc.l <br />Back(low preventer <br />Urinal <br />DrinM,ing Founlain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Other <br />HEATSOURCE <br />Eleclric _ Gas _ Olher <br />N�� J�� . <br />N0. I <br />CONTRACT PRICE OF WORK <br />.�l�,�, — <br />TYPE OF FIXTURE OR ITEM <br />NC — air handling units <br />Forced air syslems <br />Gas piping <br />Waler heater <br />Gas tireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />fieat pump <br />Unit healer <br />Boiler <br />Refrigeration <br />Woodslove <br />CIN OF EVERETT LOCAL SALES TN; CODE IS J105 <br />! hereb� ceriti�y that I have read and examined this application and know the same to be true and correcL All proe�isions of laws and <br />ordinaces governing this type of work will be complied with whelher specified herein or neL The granting of a permit does not presume <br />ro give aulhority to violate or cancel Ihe provisiun of any other state or local law regu!aling consWction or the performance of <br />construction. That I am authorized by the owner o( this pmperty to per(orm the work (or which application is made and I comply with the <br />St�:te ConUaclors Law 18.27 RCW and 296.200 WAC. <br />_.�._.___ __.._.------- ._... ... „ --- � <br />` - - -----. _ --- --- — �� <br />