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-��--r�-�- <br />P�..tNi{T APPLICATIC_� <br />CITY OF EVERETT P�RMIT SERVICES <br />3200 CEDAR S�TREET, EVERETT, WA 98201 <br />� /], 425-257-8810 — FAX 425-257-8857 — www.eve; ettwa.org � �(, �� , / S J <br />`jI y _ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />ADDRESS <br />LOT NO. <br />D°SC. <br />o�ock I TRncr <br />PARCEL TNC I.D. # <br />PERMIT # <br />C�5 U�-I-p� <br />CITY2IP PHONE <br />✓Vl I c�`��_ 1��.� <br />TENANTNAM CONTACTFORPERMIT PHONE <br />T� I �. P I V P.i-� 1, �f e '�I�� .% S`7 '�ZG I <br />CONTRACTOR <br />CONTR. LICENSE fi <br />USE OF BUILDING <br />DESCRIPTION <br />1 H LLC.. <br />NO. I TYPE OF FI�TURE OR ITEM <br />Toiiet x Z = b <br />�athWb x 2=2 <br />Lavalory (wash basin) x2 =8 <br />Shower�c 2, nZ <br />Kitchen sink 8 disposal2 2= 2 <br />Dishwasher�c L � <br />Clothes washer u Z = �- <br />Laundry lray <br />Sink (servicelhar/mop/elcJ <br />Backflow preventer x �. I <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greasetrep <br />Roof drains <br />Olher <br />�isiv �+'*ST.N� <br />S ��rc I v � <br />_ S -0 <br />HEATSOURCE <br />CITY2IP <br />�-�-�kcsitc,s <br />�f KZs;S <br />_ Eleclric �Gas __ Olher <br />PHONE <br />y15 -7Sy-3�K <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handl?ng unils <br />Forced air systems x Z= Z <br />Gas piping x 2' b <br />WaterheaterK2 =Z <br />Gas fireplace X 2 =2 <br />Gas range <br />Clothes dryer �c 2 =2 <br />Range hood ,c 2 =Z <br />Exhaust fan ,c 2 = b <br />Heat pump <br />Unil healer <br />Boiler <br />Refri�eralion <br />Woodslove <br />Olher <br />CITY OF EVERETT LOCAL SALES 7AX COUE IS 3105 <br />I hereby ceritify thal I have read and examined lhis application and know the same to be We and correcl. All provisions of laws and <br />ordinaces goveming lhis type of work wili be complied wilh whether specified herefn or not. The granting of a permil does not presume <br />tu give authority to viola[e or cancel Ihe provision of any olher slate or local law regulaling conslruction or lhe perfortnance of <br />� construction. That i am aulhorized by the owner of this property to perform the work for which appltcation is made and I comply wilh the <br />� State Conlreclors La�v 1�.27 RCW and 296,200 WAC. <br />. �. _✓1 ,./_ .i , <br />.. /� L � � �.� `/ :1- <br />