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PERMIT APPLICATIQN <br />CITY OF EVERETT P�RMIT SERVICES <br />3200 CEDAR STP,EET, EVERtTT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />SITE ADDRESS <br />�O� tii. '� <br />LEGA LOT NO. <br />na�vic.��. cEr,tt�—}2 <br />TENANTNAME <br />pRz0111�E1JGE E�L:fz�'i'T <br />�7�G�1L cEhit'lE�- <br />CONTRACTOR <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />PARCEL TAX �.D. # <br />2�o571DC�214400 <br />TRACT <br />g� �3-�.( <br />� <br />✓I7 J <br />425• 2•5� <br />�16 t'AGIFIG AY�.�f'•o.P�O�C IOfo�l, �vEp�Tt 98206 <br />� CONTACT FOR PERMIT RHONE <br />�GIfZ"rLEY GOLE A�i�'-OC:IA`f"E�.� <br />CONiR. LICENSE # <br />�<lR "1" L G f�2i 2�=F <br />USE OF BUILDING <br />op�tGE <br />p� ocGsi�A�-tc.Y <br />�'bEV 1 hl 5 AYLD}2 <br />ADDRESS C�TY21P <br />ID�O 5E EVERETi' �LL �rlA�( <br />sun'E io2, e.�r��'rT,wn, O1g208 <br />NEAT SOURCF. I <br />_ Electric j� Gas _ Other 1 <br />425 • �.6� • ab6b <br />PHONE <br />425• 261 • 4-��JZ <br />CONTRACT PRICE OF WORK <br />$ i, SaD, 000. oa <br />WORK �ESCRIPTION <br />R�t-�Dt'.�EL ��X��i1htG sNELL sj'AGE p'�z. ht�r! v�ptcEy,'�i'I�ONCS, <br />EN��.oz'�B 11urIe�E ra� cot-l�C-�G-�1c� �pl�►,� .�x�-nt-t�, $uit�� ��s A <br />at-lE �StU�Y '�:U�L'f7�1J� <br />NO. I TYPE OF FIXTURE OR IT[M <br />Toilet <br />Bathlub <br />Lavatory (wash basin) <br />Sho.ver <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water healer <br />Sink (service/bar/mop/etc.) <br />8ackllow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease irap <br />Roof drains <br />Olher <br />NO. I TYPE OF FIXTURE OR �TEM <br />A/C - air handling units <br />Forced air syslems <br />Gas piping <br />Water healer <br />_ Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhauslfan <br />Heal pump <br />Unit heater <br />Boiler <br />Re(rigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SAIES TA7( CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and hnow lhe same to be irue and correcL All provisions of laws and <br />ordinaces yoverning this fype of work will be complied wilh whether specified herein or not. The granting of a permit does not presume <br />lo give aulhoriry to violale or ca!rcel the provision of any olher state or local law regulating consWclion or!he performance of <br />conslruclion. That I am authonze� by the owner of lhis property lo pedorm the work (or which application is made and 1 comply wilh lhe <br />Slalc Contradors Law 18.4� RCW and 2�6.20� WAC. <br />1/ <br />lL <br />