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SITE ADDRESS <br />�-z� S,t,9. <br />LEGAL LOT NO. <br />TENANTNAME <br />PEkMIT 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 />PARCEL TAX I.D. # <br />'�a�\ W a$O�-}��-} 00102 <br />BLOCK TRACT <br />ADDRESS <br />' 3(�05 �J�rehsv� I I� ('�xt� <br />/C�ONTACT FOR PERMIT <br />L7ar-y �aqt'JCj�(" <br />CONTRACTOR <br />Anduson Ma9r�dea- Co <br />CONTR. LICENSE # <br />USE OF BUILDING <br />A�DRESS CITY2IP <br />�02�2 E�a.,,s►o� A�1J <br />SeQW <br />— HEATSOURCE I <br />Electric Gas Other <br />WORK DESCRIPTION <br />Rwgh l�n (1����k ��)VYlops;►�I� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavalory (wash basin) <br />Shower <br />_�___ Kitchen sink &disAesel <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mopletc.) <br />6ackilow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />� otner t'1'1op S�n1� <br />�.(c�- }lei�l�i-S �1�0 <br />PHONE I Z <br />20(0'� 8�-! -4 b(�0 <br />PHONE <br />20�-1BN-4 � a� <br />CONTRACT PRICE OF WORK <br />�3, 5co.00 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas pfping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodslove <br />Other <br />CITY OF EVEREIT LOCAL SALES TFU( CODE IS 3105 <br />I hereby ceriti(y lhat I have read and examined lhis application and know Ihe same lo be true and correct. All provisior,s of laws and <br />ordinaces governing lhis type of work will be complied wilh whelher specified herein or not. The granting of a permit doEs nol presume <br />lo give aulhority to violate or cancel Ihe provision of any olher state or local law regulaling construclion or lhe pedormance of <br />construction. Thal I am authorized by lhe oy� er of lhis properly to perform lhe work for which application is made and I comply wilh the <br />Stale Coniractors Law 1A,27 RCW apd 296.$00 WAC. <br />