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SITE AJDRESS �'� <br />lRD SKl ��e�e(f Al�lL. <br />LEGAL Lp T NQ <br />-.�,,,. �D; g l c r <br />"`":,°K Eu�Re t� I��[L RE <br />t�eKN ��e/e.e� ,��cl< <br />TENANTNAME <br />��,��N<%.2 �NPQe i��n i <br />CONTRACTOR �� �, T� � Y <br />P�RMIT APPLICATIC,�� <br />CITY OF EVERETT 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 />Q��% PARCEL TAX I.D. # <br />w,i� iio 3%6� ocz� U�/ oaos <br />BLO�K TRACT OR SUBDIVISION # <br />�G <br />'�I�LL �L ✓c� �( <br />PERMIT# <br />�nF, <br />CONTACT FOR PERMIT PHONE <br />�S�9f:_ �ic.e 3fie:y,c•rz7- ��9f £6�9 <br />E•MAIL <br />/.ri� /%8l:2 .',f%�/k �2 �NE <br />CONTR. LICENSE # i,DENT.7/ Qy7�7 � <br />USE OFBUILDING <br />/�PaL ': rt� rc <br />Gii����n�Pt� <br />o��i�e <br />e� 3/-�l a8 <br />HEATSOURCE <br />_ Electric _ Gas _ Other <br />WORK DESCRIPTION <br />%GJ� j�Pc�,c;c ;Cdelz /l,o.utire�l Sgu�� <br />S�c P�evg-}io� <br />NO. I TYPE OF FIXTURE OR I?EM <br />Toilel <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen s!nk & diaposal <br />Dishwasher <br />Clothes washer <br />Waler heater <br />Sink (service/bar/moplelc.) <br />BackOow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />�iY'o � � i q <br />CONTRACT PRICE OF WORK <br />/� oed <br />�911 e�Jr�uS s�.�s �.�, /�v /�/ 7�o f e <br />�Prh�l <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />_ Forced air systems <br />_ G2s piping <br />Water hea;er <br />Gas tireplace <br />� Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heal pump <br />Unit healer <br />Boiler <br />Refrigeration <br />Woodslove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerili(y lhat I have read and examined lhis applicalion and know the same l0 6e true and correct All provisions of laws and <br />ordinaces goveming lhis lype o( work will be complied wilh whelher speci(ied herein or not. The granting of a permit does nol presume <br />lo c�ive authori!� to violale or cancel lhe provision of any olher state or local law regulating conslruction or lhe performance of <br />conslruclion. That I am authorized b� 'he owner of this property to peAorm the work for which applicalion is made and I comply wilh lhe <br />State Contractors Law 18.27 RCW ai 1296.200 WAC. <br />'2-O <br />