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PE�MIT APPLICATIOnI <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 PROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS f� 11 O COI-By A�E. PARCEL TAX I.D. # PER�yIT M <br />EvERETT� WA 9P�03 /vC A�l�_�% <br />l�J 7 �i <br />LEGALJ LtlT N0. I <br />DESC �T <br />OWNER . <br />IGL�SIA N� GR1ST0 <br />_� CHURCN OF CHRIST) <br />TENANTNAME <br />CONTRACTOR � y� N � R <br />CONTR. LICENSE K <br />USE OF BUILDING <br />WORK DESCRIPTION <br />BLOCK I TRACT <br />H/aNbICAP <br />NO. I TYPE Of FIXTURE OR ITEM <br />"foilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />�ishwasher <br />Ciothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trep <br />Roof drains <br />Other <br />G110 C-oLB7 AvE <br />�vEReTT , w/. 9g2o3 <br />CONTACT FOR PERMIT <br />DENNIS P, EUDELF <br />.3711 1b4 �� s1. S1N A�4. B•to7 L <br />ADDRESS CITY2IP <br />I — HEAT SOURCE I <br />Electric Gas Other <br />R1�.Mp FoK CHAPEL <br />PHONE <br />PHONE <br />�) acs- i9t4 <br />29o-G7�o <br />� 741-0408 <br />8037 <br />CONTRACT PRICE OF WORK <br />�} 3,500. o0 <br />NO. I TYPE OP FIXTURE OR ITEM <br />A/C — alr handling u�its <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Ciothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrtgeretion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES SIU( CODE IS J105 <br />I hereby ceritify that i have read and examined this appliwtion and know the scame to be true and correct. All arovisions oi I.aws and <br />ordinaces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authonry to violate or cancel the provision of any other state or local law regulating construction or the performance uf <br />construction. That I am auihorized by the owner of this property to perform the Hnrk for which application is made and I cornply with the <br />Stat�Geaua4tors Law 1827,RCW and 296.200 WAC. <br />23 <br />