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PEi�MiT APPLICATION <br />CITY OF EVERETT F'EIRMIT 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 />SITE ADDRESS PARCEL TAX I.D. # <br />(a'�7 �VEI�r��N f1�itY OD'/��/�GZ'�00/L�00 <br />LEGA LOTNO. BLOCK TRACT <br />DESC. � �YK�b-GD L�UG`7�LY �"J/LL) a/�; � <br />�!�%iitL /�v >i >;1•9T�"' �llJ'/ <br />TENANTNAME <br />s'�e�t> c-�v�� <br />CONTRACTOR <br />� �vEJ � C-"GN'�G2''�O/v <br />CONTR. LICENSE # <br />USE OF BUILDING <br />fl�l%� PCj�y%'�%'1t-!� <br />a-a�-°7 <br />gZ5 3� � <br />CONTACT FOR PERMIT PI10NE <br />�U7T' l�i�-z�tv,r�, �crt��T .� �3 ?97v <br />A�DRESS CITYIZIP PHONE <br />�1�7�5���1�U� /11��/Ll�� �1i11 • �I'zJ 2� <br />HEATSOURCE <br />_ Eleclric � Gas _ Other <br />CONTRACT PRICE OF WORK <br />C'i <br />�i <br />WORK DESCRIPTION <br />�NGGf �-�i �1'V �'( � . C���ej 7U Gy�'-?fi� 1(�G/1i/zd'Lj�. �C/LE7J✓✓ <br />��91.• �tri�rL �y�-.r��i tU�L Gvt i3t >1- �7'�L� r-�-,r��l�' , <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Disha�asher <br />Clalhes washer <br />Water heater <br />Sink (service/bar/mo{��elc.) <br />Backflow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Other <br />NO. <br />HANICAL <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Fcrced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clolhes dryer <br />Rarge hood <br />Exhausl (an <br />Heat pump <br />Unii heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereLy cerilify thal I have read and examined this applicalion and know the same to he true and wrrecl All provisions of laws and <br />ordinaces goveming this lype o( work will be complied with whether specified herein or not. The granting o( a permil does not presume <br />to give authority to violale or cancel lhe provision of any olher state or local law regulatirg wnstrurtion or the performance o( <br />constructicn. That I am authorized by lhe o�vner o( this property to perform lhe �vork for which applicalion is made and I comply wilh lhe <br />Stale Conlraclors Law 18.27 RCW and 296.200 WAC. <br />/'�i��vU/� � 1��H ( %�� �' <br />