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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EV[RETT, WA 98201 <br />425•257-8810 — FAX 425-257-8857 — www.everettwa.ory <br />AFPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS ���I:U' CV L"YC'{� /�'ILl � I PArRCEL TAX 1.0. N J PERPdiT � <br />i�lnn rr_ r..nir.-IL �I.�.�II �n(��! �iviivik�.1�-�i /l/,'Yl.i�IA;Q L�Q�rYC ����� _� <br />LOT NO. <br />_r'n�'f�o In� <br />TENANTNAME <br />SE�A �2t:o <br />TRACT OR SUODIVISION # <br />���D� �J'rOC(1��7C��W1/ l�L�. � ,/ti1C�Vl��L� IJ�� ���%�7 <br />CONTACT FOR PERMIT <br />11+�P,�r,b�c. - I'�liclxlle <br />G 3�/715. �� I c� <br />PHONE !jI J�rj'I�] � ��-�I <br />CONTFiACTOH '^ ^�" .� -...._.. <br />�1f ��cY� �r1C. ��I JCl1'rizS vf. i 1iul�lit;l�� �yrctCU�x, Ny 13iD3 ,�i15� 233 I3� <br />CONTR.LICENSE# W� LIL� �tl��Ui��1�OJ�I�I �'�J' � � _ <br />USE OF BUILDING / HEAT SOURCE CONT"Rf'ACT PRICE OF WORK <br />T P1Cli 1f 1 S ������ l C'iCY� ��k5�(�lll�il�� � Electric _ Gas _ Olher `" �.JV� �U�' <br />WORK DESCRIPTION ��fEYICf �£f)CLrl� I�LU If� OII�I 01 .SF]A��w (��� �-�%uYf ��lS`�[ <br />at Cvrrr�; N�all w�{h��� cxi�l�n� �ie�ltirf S�eC �(on�ur�y <br />oC�uuitd I.V I�itrir(a �X��rt�.��) <br />NO. I TYPE OF FIXTURE OR ITEfd <br />— Toilet <br />BathWb <br />/ Lava�ory (wash basin) <br />� Shower <br />�_ Ki�chen sink & disposal <br />' Dishwasher <br />� Clo�hes washer <br />I>ll � Waterhea�er FK"����I <br />�3 Sink (servicel��dmopletc.) <br />�- Backllow preventer <br />.-' Urinal <br />i Drinking Foun�ain <br />q_il_ Floordrain <br />(�4�� Grease trap;'G.�tl� <br />Roof drains <br />Olher _ <br />NO. I TYPE OF FIXTURE OR ITEM <br />NC - air handling units <br />Forced air systems <br />Gas piping <br />iWater heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />CITY OF EVERE'I7 LOCAL SALES TAX CODE IS 3105 <br />I hereby cerility that I have read and examined Ihis application and know the same �o be Irue and correcL All provisions ot laws and <br />ordinaces goveming Ihi; type ol work �vill be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authoriry to viola�e or cancel �he provision of any o�her slale or locai la�v regulating conslruc�ion or �he performance of <br />cons�ruction. Thal I am authorized by �he owner of lhis property �o perform the work for which applicalion is made and I comply with �he <br />Siate Contraclors La�v 1827 RCW and 296.200 WAC. <br />r <br />11i�h�t, ln� �'r� t�rt� �'}'l�r� /l� ✓l��ar.�uf�r.� rrj2 �n�inf�_ /? 2S'�o�- <br />�_... i n........:r....�.���...ieini��.nnrt Aneni . D81B <br />