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t <br />SITE ADDRE55 <br />"1'�Q5 GUE¢ <br />LEGA LO7 N0. <br />� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAY. 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM �3 AM TO 4 PM <br />BLOCK <br />TENANTNAME <br />�; A 5 Spo(tS <br />w¢c,NEe c.�r�s�v,��-n��� <br />CONTR.UCENSEN <br />KIC.0 Fi�*. 2� q 9 Z. <br />USE OF BUILDING <br />�;��� <br />PARCE� TAX I.D. N <br />2aoso�oo oc�- <br />TRAC70R SUBDIVISION il <br />CONTACTFORPERMIT <br />quurccao <br />'I �SS S. Zob � M J� <br />HEATSOURCE <br />PHONE <br />E�MAIL <br />TYI �� <br />/L� A/'r� w A <br />Elzctric _ Gas _ Olher I � <br />WORK DE3CRIPTION <br />RtVtSC EX�S�I,��Ci �i[-c-� S?2�ti1�Gf.GC �%YJ'iZti'�. <br />N0. � TYPE OF FIXTURE OR ITEM <br />Toilel <br />Bathtub <br />Lavalory (wash bnsin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Waler heater <br />Sink (servicelbar/mopletc.) <br />Backllow preventer <br />Urinal <br />Orinking FounWin <br />Floor drain <br />Grease Irap <br />Roof dreins <br />Other <br />NO. <br />p <br />£53•�5�2•�2Zc� <br />CONTRACT PRICE OF WORK <br />O. `. <br />TYPE OF FIXTURE OR REM <br />AJC - air handling units <br />Forced air sys�ems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rangehood <br />Exhaustfan <br />Heal pump <br />Unit heater <br />Boiier <br />Refrigeration <br />Woodslovo <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX COOF. IS 7105 <br />I hereby certify that 1 have read and examined Ihis applicalion and know lhe same to be Irue and correct. All provisions o( Iaws and <br />ordinances goveming Ihis lype of work will be complled wilh whether specified herein o� not. The granling of a pertnil does not presume <br />to give aulhorily lo violale or cancel the provision of any other stale or local law regulating conslruclion or lhe performance ol <br />conslrucllon. That I am authorized by Ihe ownei of lhis property to peAorm Ihe work for which appiicalion is made and I compiy wilh Ihe <br />Slale CoNradors 1�w�1§�27 RCW and 296200 WAC. , . <br />S�7JI�/ <br />