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PERMIT APPLICATIOnI <br />CITY OF EVEFtETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />(�-iG�) 5£ ��eieif I��,� <br />LEGAL LO1'N0. BLOCK <br />DESC. <br />OWNER <br />GVCSE 1' J�`A�� <br />TENANTNAME <br />L��a ��,-�2a. <br />CONTRACTOR <br />�1a�-Fo.., MP���..;�.�1 <br />CONTR. LI¢ENSE # <br />Pir�t"e....a' coScPJ <br />USE OF BUILDING <br />1✓i c�`� <br />WORK DESCRIPTION <br />�c ��'. e��, ( <br />od-1, er <br />�d� '�.� ��e ;11. <br />r �,�-� . <br />NO. I TYPE OF FIXTURE OR ITE�d <br />Toilel <br />8a�iilub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (service/badmop/etc.) <br />Back(low preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof dralns <br />Olher <br />PARCEL TAX I.D. # <br />TRACT <br />CONTACT FOR PERMIT PHONE <br />-� <br />�'1Crc �li�sw�o «G(, �13 0}rZ <br />ADDRESS CITYIZIP PHONE <br />��� Q. i30K �Y � EN�nc�r�w '3ba fi��:2434�, <br />HEATSOURCE <br />_ Electric � as _ Other <br />�7 �( , <br />pp�i 7(orr� <br />,� <br />� N0. I <br />CONTRACT PRICE OF WORK <br />3 s� - <br />���1 C�? J Yrl OJ �� � �Z' <br />� <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units - <br />Forced air systems <br />Gas piping <br />Waler healer <br />Gas fireplaca <br />Gas range <br />Clothes dryer � <br />Rango hood I y�t fL <br />Exhaustfan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeration <br />VJoodslove <br />CITY OF F.VERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriti(y ihal I have read and examined this applicalion and know the same lo bo true and correct. All provisions of Iews and <br />ordinaces governing this lypo of work will be complied wilh whelher specified herein or not. The granfing of a permit does nol prasume <br />lo give authorily to violate or cancel lhe provision of any other slate or local law regulaling construclion or the performance of <br />consUuction That I am aulhorized by tho owner of this property to er(orm e w (or which applicalion is made and I compiy with the <br />Slale C�a�o�Law 18.27 RCW and 296.200 WAC. �� � �, <br />