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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERV��ES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />42�257-8810 - FAX 425-257-8857 - www•everetlwa.org <br />APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />LEGALI LOTNO. BLOCK <br />DESC�T � �• C <br />OWNER <br />tila�dehs Par�ci I lC . <br />TENANTNAME <br />CONTRACTOR <br />SarYre �iS <br />CONTR. LICENSE R <br />USE OF BUILDING <br />a 1ca�V e_ <br />(�uplex <br />WORK DESCRIPTION <br />Zll`l Oc�Q� eX <br />NO. I TYPE OF FI%NRE OR ITEM <br />ta Lavatory (wash basin)�}j-i ly <br />Shower <br />2 Kitchen sink 8 disposal <br />� Dishwasher�•' <br />� Cbthes washer j ( <br />— Laundry lray <br />— Sink (servicelbarlmopletc.) <br />— BackAow preventer <br />Urinal <br />Drinkiny Fountain <br />— Floor drain <br />� Greasetrap <br />— Roafdmins <br />— Other <br />PARCEL TAX I.D. N <br />I <br />TRACT <br />� ^^L <br />�y_� <br />ADD • 5 <br />�a *�Z_nQ i2. SteveY�S <br />Cp�[�\TACT FOR PERMIT <br />YG��� r� <br />ADDRESS <br />HEATSOURCE <br />_ Elednc �Gas _ Olher <br />� <br />-a 3 � <br />CITYIZIP <br />p�o60� - c�/� <br />PERAQIT N <br />/ � '� � <br />PHONE �zlJ..�.� ' <br />Je�S oS73 <br />3 <br />PHONE <br />� <br />PHONE <br />GON I HAc I Yn W c ur �vrtn <br />/�'�G9rP ` <br />NO. I TYPE OF FIXTURE OR ITEM <br />—' A/C — air handling unils <br />� Forced air systems ✓ <br />� Gas piping <br />� Water healer✓ <br />2 Gasfireplace� <br />— Gas range <br />� Clothes dryer ( � <br />�Range hood �, `` <br />Exhaust fan � <br />— Heat pump <br />— Unit heater <br />= Boiler <br />._. Refrigeration <br />— Woodstove <br />� Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3/05 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correcl. All provisions of laws and <br />ordinaces goveming this type of work will be complied with whether specified herein or not. The granting of a permit dces not presume <br />to give authonty to violate or cancel lhe provision of any other state or local law regulating wnshudion or the performance of <br />construclion. That I am authorized by the owner ot this property to perform the wnrk for which application is made and I wmply with the <br />State Contractors Law 18.27 RCW and 296.200 WAC. � � <br />�/ / �q(� GZ,Pa'.cJ <br />� <br />/".2�u �e� <br />