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PERiVIIT APPLICATiON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — wwv��.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS PARCEL TAX I.D. # <br />Y'+q0'9 tV�e.�ni^r�. Gl%ny Stti{e �CS-I 7 <br />0 <br />LEGAL LOT N0. 6LOCK TRACT OR SUBDIVISION # <br />DESC. <br />OWNER A�DRESS <br />�-V CRGRcEN RCTA� L PP�Tt�t�tS � L L G ;�Ou,U ����c� <br />TENANT NAME <br />JoSE �- n�Qz <br />pr� i �- sY s r�nn S <br />CONTR. LICENSE # <br />USE OF BUILDING <br />CONTACT FOR PERMI7 <br />� ��ae-�v cxzT�� <br />Coh1r� G-rCRS i LL� <br />hlc�r 51-�c%P F: RESY7a+t�/2ANT <br />WORK DESCRIPTION <br />�1 SLf PPL`( �• I N STPc��,c�1—tON <br />w i n� I;7c t-t�A �-� st �� tJ � <br />�� 1 1�1 S l-A i, L A Tl n. iJ O� 6 <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathlub <br />Lavalory pvash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dish�vasher <br />Clothes washer <br />Waler healer <br />Sink (service/bar/mop/elc.) <br />Back(low preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grezse Uap <br />Roof drains <br />Olher _ <br />�C <br />�a `�`I `�?S <br />qzs -4s3�l�Cf( <br />PHONE <br />z c� -�t �I 1- 32 a I <br />E•MAIL �JO(��''{eC�CI d'�SCiCC� �•[C�, <br />CI7Y/ZIP PF 0�—x�3 -&�.�?� <br />55�a J<cn,es I}vc se �/�-�ib�� �, ,R7� <br />��%���% <br />HEATSOURCE <br />Eleclric ✓Gas _ Other <br />7 <br />CONTRACT PRICE OF WORK <br />� i GI � 2 00 <br />vF 2 z�r�.,-rs q�r. LONG ct�ss .0 <br />►�,,A �.c E- l,1 � A( R L t N I T <br />NO. I TYPE OF FIXTUR[ OR ITEM <br />A/C - air handling unils <br />Ferced air systems <br />Gas piping <br />Waler heater <br />Gas (ireplace <br />Gas range <br />Clothes dryer <br />Range hood �UhH�(LC�� L <br />Exhaustfan <br />Heat pump <br />Unil heater <br />Boiler <br />Refrigeralion <br />Woodslove <br />Ctner MA1�-UQ �\� d�� IT <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerili(y thal I have read and examined lhis application and know the same to be irue and correcL All provisions of laws and <br />ordinaces goveming this type o( work will be complied v+ilh whether specified herein or neL The granling of a permit does not presume <br />to give aulhority to violale or cancel lhe provision ot any other state cr lor,al law regulaling constniciion or the performance of <br />consiruction. That I am authorized by lhe owner of this property to perform lhe work (or which applicalion is made and I comply wilh the <br />Slate Contraclors Law 18.27 RC�V and'[9�200 WAC. <br />lD/l6 /G � <br />�( G <br />