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SITE ADDRE:>S <br />� . <br />�l � VPrJ <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />TENANT NAME�f� (/.j_ <br />I'ERMIT APPLICATIcaN <br />CITY OF EVE�ETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9""01 <br />�t25-257-8810 - FP.X 425-257-8857 - www.everettv�a.org <br />APPLICATIONS ,�RE ACCEPTED FROM 8 AM TO 4 PM <br />✓tr�/f <br />BLOCK <br />SiS <br />PaRCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />CONTACT FOR PERFAIT <br />�)a���� I��7cl�v <br />CONTRACTOR <br />%a�C�G��t i.�Or�{�.i�.•��5� �•�S�vuc�;.�.il.�c <br />CONTR. LICENSE Jt <br />f7/�_7S�/S-� <br />USE OF f'JILDING <br />�;a1 y5i5 <br />ZU(� �/S� S�`?�7 <br />rypir * <br />: � l /k7�-, <br />PHONE Z�J(� G��'(-i Sa�.-� <br />e.Mnu_ 1«��e.s��: ax i o�hnw.� <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />_ Electric � Gas _ Olher p,�i l�� � <br />WORK DESCRIPTION ��,iyiC Sc.nE r.,CFiI�.%�y G✓�lll5 �Uf �'� /f Psci P/vn��•�Zy S f/S%ir� <br />1 / <br />� ui �ii 11Pt�' iJ�t�iS ,lCME' SirvC��'ni� ac��,C�'Lr Ln/v�ii33 -�co��:��- ;�r'✓��:e <br />Dl�rtG5i5 (.Jr„it! S�/S-Fc'r••� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />'Ciot�es washer <br />Water fPeate� <br />Sink (service/baf/mop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains �=K � S � � ���� <br />Olher <br />� <br />NO. I TYPE OF FIXTURE OR ITEM <br />� AIC — air handling unils <br />Forced air syslems <br />Gas piping <br />% Water heater <br />Gas fireplace <br />�as range <br />_ Cloth�s dryer <br />Exhaustfal� <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 31U5 <br />I hereby ceritify thal I have read and examined this applicalion and know the same to be true and correcl. All provisions o` laws and <br />ordinaces goveming this lype of work �vill be con'�plied with whether specified herein er not The granling of a permit does not presume <br />lo give authoriry to violate or cancel the pmvi ' n of a�y olher state or local law regulating construction or the performance of <br />conslruclion. That�m authorifedU}� the ov er of Ihis property lo perform the work (or which applicalion is made and I comply �vith lhe <br />Slate CoNractors aw 18.27 P,CW�id 2 200 WAC. <br />� �� <br />