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! <br /> PERMIT A��PLICATION <br /> CITY OF EVERET i PERMIT SERVICES <br /> 3200 CL'DAR STREET, EVERETi,WA 98201 <br /> 425-2`�-t3810- FAX 425-257-8857-www.everetiwa.org <br /> APP�ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.il P�1MIT# <br /> 7 G�RDt�IF.R RVE Oo /7 O�Ga3ooG �� 'c%G� -C%i I <br /> LEGA LOT NO. BIOCH TRACT OR SUBDIVISION d <br /> oesc. 30 o DAYID //'1 RINE f}C.�S <br /> OWNER ADDRESS CITY2IP PHONE <br /> I �I��TiVS � S� �l �4RSiDl N701 �Ra�NE� . � e' 2G � • ?• Z <br /> TENANTNAME CSTAT'6�'�OHES���4���G' PHONE y�y.�y3• 3373 <br /> 011�Nr2 aGGuP/FD GRAi4 C�R/✓6?' e-n+a�cRiHa�eESr�TCNoMfS <br /> -��� D ESS <br /> 65TqT� IF�MB,S, lilG. �30o Mn. c.efEK. QcYo.#Iz( (�14lJ�fEK�98orz yz5•7'l3• 3373 <br /> CONTR.LICENSE# j <br /> EsT�rNZ/Y7Nk �l,�z U <br /> USE OF BUILDING � HEAT SOURCE CGNTRACT PRICE OF WORK <br /> 5f� __Eleciric �Gas_Other I $23Jf �CX� <br /> WORK DESCRIPTION / � <br /> T�VR�GvtRrE /FDninor/ 37��^'� �+'eT � i b��IK4 /}ktR - /NTEKioR Q�epYL OF <br /> qcr. 6,��57'/NCi kRFi*S of /HR//�FLa�Q. <br /> , 1 � , . K�rio <br /> ��,3 � ( ciC�- <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FlXTURE OR ITEM NO. I TYPE OF FIXTURE OR ITEM <br /> 3 Toilet _ A/C-air handling units <br /> 2 6alhtub _ Forced air syslems <br /> _� La��a�ory(wash basin) _ Gas piping <br /> I Shower Waterheater <br /> _� Kitchen sink&disposat � Gas fireplace <br /> �_ Dishwasher l Gas range <br /> � Clothes washer ,� Clothes dryer <br /> Water heater Range hcod <br /> _1. Sink(service�bar/mop/elc.) � Exhaust lan <br /> Backflow prevenler _. Heat pump <br /> Urinal __ Unit heater <br /> _ Drinking Fountain Boiler <br /> Floor drain _ Refrigeration <br /> Grease trap _ Woodstove <br /> Rool drains _ Other <br /> Other — <br /> I __ - <br /> CITY OF EVERETT LOCAL SALES TA7C CODE IS 3105 <br /> I hereby ceritily that 1 have read and examined this application and know the same to be true and correcL �II provisions ol laws and <br /> ordinaces poverning this type of work will be complied with whelher specilied herein or not.The granting oi a permit does not presume <br /> to give authority:o viola�e or cancel ihe provision of any olher state or local law regula�ing construclion or the peAormance of <br /> construclion.That uthorized by the owner ol ihis pmpeAy to pedorm Ihe work for which application is made and I comply with the <br /> Stale ConiractorS Law 8' RCW a d296200 WAC. <br /> � G•l�' 08 <br /> Signature of 0 a . ihorized Agenl Date <br /> �` �/Z <br />