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,� ( r <br />PERIiIIIT A�PLIC�►TION <br />CITY OF EVERET7 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 PARCEL TAX I.D. # PERMIT # / <br />/�o SE C-VE�ElT M�Fz� G�9Y �1 !00 ' <br />LEGA LOTNO. BLOCK TRACTORSUBDIVISION# <br />DESC. <br />OWNER ADURESS CIN/ZIP PHONEO��, Z'3 ']J <br />yT���T Go�M�2cr�lL ��al' � 4343 VorS KR�Mflnl,NtwPaRT B�z+i , G� qaroba <br />TENANTNAME CONTACTFORPERMIT PHONE 41�j,�'74-,�OD2 K2 <br />�HY �! ITlv-�If.1 �llD�� I�u���wn+� - Mu� a��-+�T�T E-MPJL IWAM�W1LONlNG�'1 (� <br />{i V IY I ItAt: l V tt <br />�'������ <br />CONTR. LICENSE # � 0�� fr J <br />USE OF BUILDING <br />��(/tIL <br />.,,.�,� ��y �,� �{d��-- ..,..._.. �� <br />=��p c7 r�2� U CO�+-=3� �a-8S`? 3� 3 C� <br />HEATSOURCE <br />_ Electric � Gas _ Other <br />WORK DESCRIPTION <br />Can-tF�I�Lc&t -[6nst?sr.1"� tn1�E�iet2 Fl�[--ou.7 <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop <br />BackFlow prevenler <br />Urinal <br />Drinking Fount ' <br />Floor drain <br />Grease tra <br />Roof draiq <br />Other / <br />CONTRACT PRICE OF WORK <br />�15a,000•°D <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes drvzr <br />Range hood <br />Exhaust fan / <br />Heat pump <br />Unit heater <br />Boiler <br />CITY OF EVERETT LOCAL SALES SIU( CODE IS 7105 <br />�C° ��`�� <br />� � <br />I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinances governing this type of work will 6e complied with whelher specified herein or not The grenting of a permit does not presume <br />to give authority to violate or cancel the provision of any other stale or Iocal law regulaling consWction or the performance ot <br />construciion. That I am authorized by the owner of this property to perfortn the work for which application is made and I comply wilh the <br />Siate ContrSctbis� a,�p 8.27 RC�W and 296.200 WAC. <br />% „�1'�� 4��/ro <br />� %Z <br />