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��RMIT �.�PLICATII,N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEC�AR 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 />F� S Z I Fvtr rtr� 6 <br />IEGAL LOT NO. <br />OCSC. <br />OWNER <br />Py�h� �< A� � <br />TENANTNAME <br />P t� ���y Q �c�n <br />�,,,.,..,,�,.,,. <br />L/}wfeN r��e-��,ie <br />�ONTR. LICENSE r <br />�hwseE * 936�H <br />USE OF BUILDING <br />WORK DESCRIPTION <br />�e���c�cc <br />M e ✓1 N <br />�Vf/f'1 I <br />PARCEL TAX I.�. # <br />TRACT OR SUBDIVISION # <br />`i I GC�G i'� SE <br />CONTACT FOR PERMIT <br />�G i <br />PERMIT � <br />G,i G�P 9<oit <br />PHONE <br />E•MAIL <br />/2 <br />zoG ci� �uJ <br />7 �V..yzr �n� YOG� <br />6�1 �0��� i��. S� �l.lrC� �,QLi/r� <br />PLUMBING <br />N0. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Balhtub <br />Lavalory (wash basin) <br />Shower <br />Kitclien sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Rooi drains <br />Olher <br />HEATSqURCE <br />_ Electric �� Gas _ Olher <br />CONTRACT PRICE OF WORK <br />Mtl:tiANl(:AL <br />N0. I TYPE GF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaust(an <br />Heat pump <br />Unit healer <br />Boiler <br />Refngeretion <br />Woodslove <br />Mher <br />CITY OF EVEREIT LOCAL S.4LES TAX CODE IS 3105 <br />I hereby ceriti(y lhal I have read and examined this applicalion and know lhe same to be true and correct. All provisions of laws and <br />ordinaces governing lhis lype of work will be complied with whelher specilied herein or not. The yranling of a permit does not presume <br />lo give aulhorily to violale or cancel lhe provision o( any olher slale or local law regulating construclion or the performance of <br />construclion. That I am aulhorized by the owner o( lhis property to per(orm lhe work for which applicalion is made and I comply wilh the <br />State Contrectors La 18.27 RCW an -296.200 V�AC. <br />l "' f�- 0� <br />�� �: � <br />Signafure o( 0� nerlCbn rac /Au horized Ag t Dale /� <br />�/ <br />/ t. L <br />