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PERMIT APPLICATION <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 />SITE ADDRESS _ � <br />%� �5'GtJ .�v��� ,� <br />LEGAL LOTNO;�yt��, BLOCK <br />DESC. � ��'� <br />OWNER <br />�v��rE�-r ��.T�GT LLC <br />TENANT NA�kE <br />�'n a �r( E'ALTiEf �`2C <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION k <br />8"s <br />PERMIT # <br />��� 3�"-°�y1�6 <br />GONIK IVN �/ XV4lRC:)J ��y�� J�. �uu� <br />/ C.�-�y LY�7/�'%l��.ZGVG / r�f/NY�/C�� %3 <br />CONTR. LICENSE It ��� /�L / l� q��T� `� <br />/ �( � <br />USE OF BUILDING � HEAT SOURCE I <br />/����/C�L. ��i�''� <br />WORK DESCRIPTION �� �/�n� <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilel <br />BathWb <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water healer <br />Sink (servicelbar/mop/elcJ <br />Backflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease hap <br />Roof drains <br />Other <br />_ Electric � Gas _ Other <br />Civ/,�n.T ���/%� l�t�l�"�P.V � <br />•• <br />3�- �8-�3� <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unil heater <br />Boiler <br />Re(rigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerlify that I have read and examined this application and know the same to be true and correct. All provis!ons of Iaws and <br />ordinances governing lhis lype of work will be complied with whether specified lierein or not. The granting ot a permit does nol presume <br />to give authonty lo violate or cancel the provision of any other stale or local law regulating construction or �he perfcrmance of <br />consVuction. Thal I am author' 4�' Ihe owner o(this property to perform the work for which application is made �nd I comply with the <br />State Conlraclors Law 18. RC�V,and 296.200 WAC. � � <br />