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p <br />P�,�MIT APPLICATIC � <br />�� CITY OF �VERCTT PERMIT SERVICES <br />3200 CEDAR STREET, EVERElT, WA 98201 <br />425-257-88? � - FAX 425-257-8857 — www.everettwa.org <br />�� <br />APPL!CATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />LOT NO. <br />I . , . .� �y <br />TENANTNAME <br />CONTRACTOR J <br />A�ny�N �, ii. i...ti <br />CONiR. LICENSE K <br />- -� <br />USE nF B ILDING <br />FARCEL TAX I.D. # <br />�hl.L� CO � 2 50�o c�� <br />BLOCK TRACT <br />AODRESS CITY/ZIP <br />�c,t�� L_.(_.� <br />I CONTACT FOR PERMIT <br />— r�.i'{— ��.P <br />ADDRESS _��-- CITY211' <br />95iy �{r1�sj���S�;t� lo� ��k�si� <br />I — HEATSOURCE I <br />1 Electric �as Olher <br />I WORK DESCRIPTION ' <br />� <br />I <br />I� PL� ING �, <br />I N0. I TYPE OF FIXTURE OR ITEM <br />Toiiet x Z = (o <br />Bathtubx 2=z <br />Lavatory (wash basin)x Z,- 8 <br />ShowerK 2 = Z <br />Kitchen sink & di�posal K 2= 2 <br />Dishwasher x 2 = 2 <br />Clothes washerx 2 = 2- <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backfiow prevenler x I= I <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />PERMIT # <br />C GSe-�-/ <br />PHONE <br />gZ-�-'j -Z5<1 •�ZG I <br />PHONE <br />� vzS�7ss�-.�.��, <br />CONTRACT PRICE OF WORK <br />NO• I TYPE OF FIXTURE OR ITEM <br />wc - air nandung units <br />� Forced air syslems X 2= Z <br />_� Gas piping y �, _ � <br />�_ Waterhaaler X Z -2 <br />�_ Gas fireplace X z: 2 <br />Gas ran�e <br />�Cbthes dryer x 2: Z <br />Range hood x 2= Z <br />� E�chaust tan X Z: lo <br />Heatpump <br />Unil heater <br />Boilor <br />Refrigeration <br />Woodslove <br />Olher <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br />i I hereby ceritify that I have read and examined thls application and know the same to be We and correct. All provisions of laws and <br />i ordinaces goveming this type of work will be complied wilh whelher specified herein or noL The granling of a perm�t does not presume <br />to 5 ve aulhority to violate or cancel lhe provision of any olher state or local law regulalinc� construclion or the per(ormance of <br />construction. That I am authorized by lhe owner of this pmperty to perform the work for which application is made and I comply with lhe <br />Slate C�ntractors�w 1827 RCW and 296200 WAC. <br />« <br />