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PE�MIT APPLICATION <br />Cf`TY �F 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 />51TE ADDRESS PARCEL TAX I.D. p <br />Z2`� �ih/ �/� /`�IRtLW ZQO�iZL1 00 � i)7isoC7 <br />LE LOT NO. BLOCK TRACT OR SUBDIVISION A <br />4rNC 4 <br />TENANTNAME <br />S CA�C.� <br />A-2/-�-� G2 <br />CONTR. LICENSE tl <br />4� Qo u S : <br />��- '.�- `� � <br />PERMIT q �/� <br />� i�i"f)7�W�i <br />vb-�i �b �33�(i <br />CONTACT FOR PERMIT PHONE �O(> _ Z� 3- Z I <br />CI�oP"'��� I T�LD �✓� E•MAIL t li2f.� ��•n51�. <br />OORES� CIT�121P PH NE , �o.� <br />c,,,v5,-n��n�a �855 S• Z�6"h-'St (�e�" w9 �18a3z <br />Rli-�rc �c Zc 9 p2 <br />USE OF BUILD�NG <br />TA1R�Fr SranE <br />WORK DESCRIPTION <br />/y o o r r�9 �i,r, s,—� n� cr <br />ib Fl c-C o,� � n/-�T C <br />GN an�(.�S i <br />... .....,�.�,. <br />N0. I TYPE OF PIXTURE OR ITEM <br />Toilet <br />Balh�ub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/badmopletc.) <br />8ackllow preventer <br />Urinal <br />Orinking Founlain <br />Floor drain <br />3rease trap <br />Roof drains <br />Other <br />HEATSOURCE <br />_ EleUric _ Gas _ Olher <br />o✓t^�-NSAO ���E <br />�v�+..� w�u.- 4 <br />f-) SPa.�,✓,�-��21 <br />NO. <br />CONTRACT PRICE OF WORK <br />� 3�5 I �� <br />SP2„✓�c�ti <br />G c iC.- ! �✓4�' <br />A-o d� EYI o IL <br />h�SilzM <br />TkN ��vT <br />{ �-r� O G /��L� <br />�i — <br />TYPE OF FIXTURE OR ITEM <br />A/C — alr handling unils <br />Forced air systems <br />Gas p(ping <br />Water heater <br />Gas fireplar.e <br />Gas range <br />Clolhes dryer <br />Rangehood <br />Ezhaus�tan <br />Heal pump <br />Unil healer <br />Bailer <br />Refrigeralion <br />Waadslove <br />Olher <br />CITY OF EVERETT LOCAL SALES TN( CODE IS 9105 <br />I hereby ceAify lhat I have read and examined this applicaUon end know the same to be lrue and corted. All provisions of laws and <br />ordinances goveming Ihis type of work will be complied wlth whether specified hereln or not. The granting of e permit does not presume <br />lo give aulhority lo vioiale or pncel Ihe provisian of any �ther stale or local law regulaling canslruclion or lhe performance ol <br />consWclion. Thal I em authorized by the owner of Ihis property to peAorm lhe vrork (or whicA epplication Is made and I compty wilh the <br />Slate Conira ors Lew 10.27 RCW and 296.200 WAC. <br />�,�� �—/ —�� <br />