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P�tRMIT APPLICATIVN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS y PARCEL TAX I.D. # PERMIT M <br />3S2�i �G�G-RA� t1Ji I �C�C�'a�S <br />LEGAL LOT N0. BLOCK TRACT OR SUBDIVISION li <br />DESC. <br />OWNER ADDRESS CITYIZIP PHONE ��¢zS <br />�oc-,�,L�Eiu�L2 y� �iL��i�lSr,uM,ca.v> 3�14�t1�L'.1� �"y�TY,T 4B��ol 3�Z—v83� <br />TENANTNAME � bCONTACTF/ORPERMIT PHONE �jy,s —773--�CsUO <br />C� cti /l1 C/Z [7C:1- �t i' 1 L(.� PCUCv V-1 �,� li � E�YI/1�L 14.u4 � uq_ 1P.h�5N . c � <br />�.,�r.�� NoE ; <br />/ �Go''^Pc. S <br />74Z- S�f�? <br />CONTR.LICENSEq i%�f-1 MvK�U� 'i2f 7r-/�� <br />.L.,4�V�jF( `%�I' S C�.�. <br />USE OF BUILDING I — HEAT SOURCE I CONTRACT pRICE OF WORK <br />�.� 5�� ENC_� Eledric Gas Other -� �i�b� .�� <br />WORK DESCRIPTION + ���-E-�i I \ ..� � E - � � -�.a �� �y� .,._: �ur S�s J� r_2 w � %� <br />��a _v�(' v<f.i� �„��l oto.��ir��G��� 1�=4�10,� p�o�e,.:t,� ��-�'..� <br />-E.� ;...5�«(1;..^j J.x.,-ao..._ i�-r:���,'.��� sys+.o•.�-` , <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Bathtub <br />Lavatory (wash bas�n) <br />Shower <br />Kilchen sink 8 dispas;il <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrange <br />Cblhes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined lhis application and know lhe same to be true and correcl. All provisions of laws and <br />ordinaces governing lhis type of work will be complied wilh whelher specified herein or not. The granting of a permil does not presume <br />to give authority to violate or cancel the provision of any olher state or local law regulaling consUuction or the peAormance of <br />construction. That I am authorized by the owner of lhis property to perform lhe work for which applicalion is made and I comply with lhe <br />State Conlrectors La�v 18.27 R and 296.200 WAC. <br />��� /� i�, �-�,�a f�e�,� 91 i9��,E <br />