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SITE ADDRESS <br />`153 0 �v� <br />LEGA� <br />TENANT NA�41E <br />P�RMIT APPLICATIV�I <br />�ITY OF EVERETT PERMIT SERwICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — Nww•everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />wAY �_ <br />BLOCK TRACT <br />CONTACT FOR PeRMIT <br />S -O 5-� C� <br />�PE^RMIT # <br />, `I��O� <br />PHONE <br />�Q11R1�tE,uj ef QC'vL-Nl/E � <br />CONTRACTOR V�iZED SYST��S�/NL• ADDRESS�Z^( N• 130�h CITY21PiY�� PHONE2o�^YY2'i'/S`I <br />� �.L $cAj1L& <br />CONTR. LICENSE # <br />v u IT� SS I'� �410 <br />USE OF BUILDING <br />HEAT SOURCE <br />_ Electric _ Gas _ Other <br />WORK DESCRIPTION <br />S�Qgl7 A�G SQb'� SyS-i�M C2Teti '� S�Ncr t-ooM <br />� <br />NO. I TYPE OP FIXTURE OR ITEM <br />Tailet <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Water healer <br />Sink (servicelba�/mop/elc.) <br />BackOow prevenler <br />Urinal <br />Drinkinc� Founlain <br />Floor drain <br />_I Grease trap <br />I Roof drains <br />�lher <br />I <br />CONTRNCT PRICE OF WORK <br />§� SD U`� <br />NO. I TYFE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air syslems <br />Gas piping <br />W ater heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Cnit heater <br />�oiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />I hereby ceritify lhal I have read and examined this applicalion and know lhe same to be true and correct. All provisions of laws and <br />ordinaces goveroing this rype of work will be complied with whelher specified herein or noL The granling of a permit does not presume <br />to give authorily to violate or cancel the provision of any olher state or local law regulaling consWction or the performance of <br />construction. Thal I am authorized by lhe owner of lhis property to pe�orm lhe work for which application is made and i comply with lhe <br />State Conlraclors Law 18.27 RCW and 296.200 WAC. <br />SignaWre of OwnedConlractor/Authorized Agent Dale <br />