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l <br />PERMIT APPLICATION <br />CITY dF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 93201 <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 />ZZ� SW �VF-�£I'T /�*� <br />LEGALI LOT N0. <br />DESC.� SE� <br />BLOCK I TRACT <br />OFP/� Mr4X� �n.�• <br />TENANT NAME <br />.S�'P'7TL� G—GZ'i�✓/G.L <br />PARCEL TAX I.D. # PERMIT if <br />28ay2���ioz,�oa I /.� (o¢� -� <br />CIN/ZIP PHONE <br />viw� c�.�r�2. Ro ., • - <br />FOR PERMIT - PHONE <br />f1-�N• G�-a�Pi �S Zob- GyY• 3z�o <br />h12taOT ti-O�LrC <br />CONTRACTOR �.f,sNF-[-_ y-�fS�oC, ADDRESS <br />CONTR. LICENSE / O Z y 7 p p w/� ��=pVSHAL, <br />USE OF BUILDING <br />,�r�+��- s-r�s <br />HEATSOURCE <br />_ Eledric _ Gas <br />CITY2IP PHONEy <br />�ELLL`V✓E�W�} i75� <br />soa <br />Other <br />CONTRACT PRICE OF WORK <br />�<f�S,q��' <br />WORKDESCRIPTION iNr��OR �EN/l.M'• l/Y���j�'jt4.F11rfs f'C� �Ti4-/L <br />S`,ro�E i4-ND /-DA�/�C `7oG/� .4LTEi�i9 r'cNs <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Laundry lrey <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drein <br />Grease trap <br />Roo( drains <br />Other <br />N0. I TYPE OF FI%TURE OR ITEM <br />AIC - air handling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaust fan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CIN OF EVERETT LOCAL SALES TAX CODE IS �705 <br />I hereby cerilify that I have read and examined this application and know the same to be true and correc�.. All provisions of laws and <br />ordinaces governing this type of work will be complied with whether specifi=d herein or not. The granting of a pertnit does not presume <br />to give authority N te or cancei lt,e provision of any other state or local law regulating construction or the perfortnance of <br />conslruc�ioyT� authorized by the owner of lhis property to perform lhe work (or which applicalion is made and I comply with �he <br />State CoJ�tracto aw 8.27 RCW and 296.200 WAC. <br />/ ��'�"—� .s/�/�O <br />