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RtL1�T�17 n�oc� pERMIT APPLICATIUN <br />P�n��i� i-� CITY OF EVERETT PERMIT SERVICES <br />�j U(ap I- O�i �J 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 <br />(�52D Cv�-P�EErJ l.�r�Y <br />LEGAL LOT NO. BLOCK <br />�JOHI.� I�,t�RSD� <br />TENANTNAME <br />PARCEL TAX I.D. # <br />TRACT <br />S� _!,Y `DV, <br />'RMIT # <br />l/��)S- 40 <br />�lo�o M�SSiouQ���-! DRivE M�9KYSVi�I� qS`.�7C7 <br />I CONTACT FOR PERMIT PHONE <br />CONTRACTOR <br />V(i5���� N�L-CH/iIJIC�iL, �1,1C. <br />CONTR.LICENSE# vA5�IM10��E�CD <br />USE OF BUILDING <br />R�T��� <br />� I�E��`�1 CRWwFc�r � (2c�)7f'�-31�J <br />ADDRESS CITYIZIP PHONE <br />PoCioX IIDB Wcoaiw�v���� 98072 C425)4E37-2359 <br />HEATSOURCE <br />_ Electric _ Gas �Other 1{�T <br />CONTRACT PRICE OF WORK <br />� 15,000�� <br />WORKDESCRIPTION REP�Y-1�E1`�IE�i OF F�ar- OAr-i�iC��O RoOFTJ� Ii�Ni PuMp <br />iEPI.NCL—hIET�i OF 1=�2E �/i�'1r�C�c� D�cTWo2K o� <br />kXI5TIIJ(:� QOOF IU1�- I'��=�1T�Uf�t� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />BathWb <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service,'badmop/etc.) <br />Back(low prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roo( drains <br />Other <br />NO. <br />� <br />TYPE OF FIXTURE OR ITEM <br />w� — air handling units <br />Forced air syslems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gasrange <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unit healer <br />Boiler <br />Retrigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby ceriti(y thal I have read and examined this applicalion and know the same to be true and correcl. All provisions of laws and <br />ordinaces governing lhis type of work will be complied with whelher specified herein or noL The granting of a permit does not presume <br />to give aulhority to violate or cancel the provision of any othei slale or local law regulatiny construclion or lhe pedormance of <br />conslruction. Thal I am �ythorized� ihe pr�fTfus �erty lo pertorm the work for which applicalion is made and � comply with the <br />State ContJactDfs_yaw � � W 296."�OO�CNAC. � <br />!' � <br />