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PERMIT APPLIC�4TION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT', V�A 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIQNS ARE ACCEPTED FROM 8 AM TO 4 PM -:EBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />�' I?7C �VEiz�52EEH Lv/.`-� <br />LEGA LOTNO. BLOLK <br />DESC. <br />��l�lAr2.r 't F 1� �t C <br />[" �'-�Fr� 1 <br />TENANTNAME <br />S�-7 tiz ��/�� 1, v F— <br />r�:�.:� �JAn�tr <br />PARCEL TAX I.D. # <br />TrtncT <br />ADDRESS CITY2IP PHONE <br />Z <br />1"?a Gc� >IZ3 J'7 LiSAHNFc.fs, ��CC'�� i��/-77`i�% <br />ICONTACT FOR PFRMIT <br />G� �� �1Q �rz/S <br />PNONE <br />�z5-3��/-?3 z/ <br />CQNTRACTOR ADDRESS CITYlZIP PHONE <br />�-P�a- CGn(57R,�c i� c�f fE�'/ l'�2t-�o A�� hIK � z f7El,Lc�/;��LJ% �z-5 -�-Yl -IIfS <br />CONTR LICENSE # ��Y��'-`' <br />� �J .L LC; fi� ( '7 Z!J �7 <br />USE OF BUILDING <br />v,'�GAI�r' �'rA� [.� <br />i'r-nztiic�z c;{zo� r:,� <br />WORK DESCRIPTION <br />� �-� i1 }c j <br />'S h4 � L�/ I k C� <br />� �f S 7F N� <br />HEATSQURCE <br />/ <br />_ Eleclrtc ✓ Gas _ Olher <br />CONTRFCTPRICE OF WORK <br />� 7)% j � G!J(J . </U <br />l Nl('�z o�� ti9 Fi�r r �.,z �� � rR ; -rrz�r�� � hf r l,v �E��e r�. <br />, �tGUT �Iunn,r..S , �n���T; l�Ir�✓ �1���,� Dc�,n,.._ <br />PLUMBING (�X���L\ <br />NO. I NPE OF FIXTURE OR ITEM l NO. <br />Tollet <br />BathWb <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />C hes washer <br />Laun lray <br />Sink (s ice/ba <br />Backflow eve <br />Urinal <br />Drinking un <br />Floor�1(ain � - <br />Gre55e trap <br />�ofdrains <br />Olher <br />Mt(:FIANIC:HL � �xIS'(1F( � <br />TYPE OF FIXTURE OR ITEM " <br />A/C – air handling unils <br />Forced air systems <br />Gos piping <br />Water heater <br />Gas firepla <br />_ ..�,,.. <br />j R e hood <br />etc.) ha t fan <br />Healpu <br />Unil hea�er <br />Boiler <br />S��-�r ) � -- h{E�tJ / _ Refngeration <br />Woodstove <br />— aner_ <br />CITY OF EVERETT LOCAL SALES 7lilC CODE IS 3705 <br />I hereby centify that I have mad and exemined this application and know the same to be We and correcl. All pmvisions of laws and <br />ordinaces qoveming Ihis type of work will be complied with whetherspecified herein or not. The granting of a permit does not presume <br />lo give authority to violale or cance the provision o( any other state or local law regulating construction or Ihe pertormarice of <br />construction. That I am authoriz by the,�wner of this property to pertortn the work forwhich application is made and I comply with lhe <br />State C tracto CL 162 96200 WAC. <br />�//'��= �_ ��l<'�ln � <br />I <br />