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SITE ADDRESS <br />"� e�e�� <br />LEGAL LOTNO. <br />oEs�. a <br />OWNER <br />4fe� C� 5 <br />TENANT N <br />PERMIT A�PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREI�T, WA 98201 � / <br />425-257-8810 — FAX 425-25i -8857 — www.evereltwa.org 7�— I� � tJ <br />APPLICATIONS ARE ACCE��TED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. 8 <br />�,�e i3 �",o�7-v�-ozz-oi <br />BLOCK TRACT <br />Cc��eq C'AD{S S�,or� <br />CONTRACTOR !� �� V(.( <br />CONTR.LICENSE� yL._'9 ��I� {J� <br />I _ _ <br />USE OF BUILDING <br />J l�1% ��� f IZC 5, � <br />WORK DESCRIPTION <br />, <br />�'i.oLJ Si����lC <br />NO. I TYPE OF FIXTURE OR ITEM <br />� Toilet � <br />� Bathtub ; .- <br />� Lavatory (wash basin) <br />� Shower ; <br />� Kilchen sink 8 disposal <br />1 Dishwasher <br />I Clolhes washer <br />�� Water healer <br />Sink (service/bar/mop/elc.) <br />Back(low prevenler <br />U�inal <br />_ Drinking Fountain <br />Floor Aiain <br />Grease trap <br />t Roof dreins <br />Olher <br />z 2 i3 e✓C► �c�C A <br />CONTACT FOR ERMIT <br />�qa�tf <br />AODRESS <br />� /9 � �'E <br />HEATSOURCE <br />_ Eleclnc X Gas _ Olher <br />r�4�,.��Cy iZPS , <br />/��f f/L(p_'_S <br />�� PEjtM1T # , <br />�' I C��40�t ' �,� <br />�/ <br />%11 /�LG�G —�O7JJ <br />PHONE <br />a0(�-�7cr=sv$ � <br />PHONE <br />CITYIZIP <br />5�4�u e <br />10NE <br />g.fcu -f <br />CONTRACT PRICE OF WORK <br />gC�, oeii.c�0 <br />Np. I TYPE OF FU(TURE OR ITEM <br />A/C — air handling unils <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan r/ <br />Heat pump <br />Unit healer <br />Boiler <br />Re(rigeralion <br />Waodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify that I have read and examined this application and know lhe samo to be true and correcL All provisions of laws and <br />ordinaces c�oveming this type of work will be complied wilh wholher sper,i(ied herein or noL The granling of a permil does not presume <br />to givr. authoriry lo violate or cancel lhe pmvision o( any olher s�ate or local law regulating conslruction or the pedormance ot <br />construclion. Thal 1 am aulhori d by tho owner o( lhis property to perform the work (or which applicalion is made and I comply wilh tho <br />Slate Conlrac�rs Law 8:27 CW and 29fi.200 WAC. <br />/./ .�/ _ <br />/7 <br />