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SITE ADDRESS <br />4�431 � � <br />LEGA LOT N0. <br />oeSC �7.j' �L <br />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 <br />PARCEL TAX I.D. It <br />s �c r o�4� t54 <br />BLOCK TRACT OR SUBDIVISIOH � <br />54'1 <br />PERMIT N <br />� <br />�TSAn� 4'Izo �.tr�••,�-�*2� �rPr�wA�.Re�a <br />TENANT NAME CONTACT hC ` ERMIT PMONErjb�j •S'�'j'4jt�i. e <br />� 1— �` �jSfot O 6���••-..•� ,T2,+�Tuy <br />���l1Qf'�Y►=,CC CD �SJE �IO�I E�AAIL . . _. <br />wn � rtn� wn ., .... ...... . .. _"_ <br />$d,1,ccK• Co�-f`i(Kau� lw� 2'I1� 13. 5(J,cn,,,,,s S�KN.•�. w• �'1•s75-3v�.Lb <br />� <br />CONTR. UCENSE � , 9gZcZ <br />pUSE 6F BUILDING <br />r�"jr.L l�r.w,ktwl� <br />HEAT <br />� Eledric xGas _ Olher <br />CONTRACT PRICE OF WORK <br />�'rX�ibbG.oO <br />WORK DESCRIPTION �-_h,.�1.7 . N#w �71a��,vj ��J c� �, s�j� Wqt..�c, �� �y����� <br />'���7 11.i � I✓l1+ '(I�is 11,YTk4o1[� wo wk. . <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kdchen smk & disposal <br />Dishwasher <br />Clothes washer <br />Waler heater <br />Sink (servlce/bar/moplelc ) <br />dackflow preventer <br />Unnal <br />Dnnking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />P✓C — air handling units <br />Forced air systems <br />Gas piping <br />Wafer healer <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstave <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />I hereby certfy that I have read and examined this application and know the same to be true and corred. All prcvisions of laws and <br />ordmances governing this type of work will be comphed with whether specified herein or not The granting of a permil dces not presume <br />ro give authonty to violate or cancel the provision of any other state or local law regulating oonslruction or the perfortnance of <br />construqion. That I am aulhonzed by lhe owner of this property to perfonn the work tor which application is made and I oomply with the <br />State ontractors Law 18 27 RCW and 296200 WAC. <br />� �-., ��ll�l'�, <br />'I� <br />