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PEREVlIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FA:( 425-257-8657 — www.everetlwa.org <br />APPLICATIONS ARE ACCEFTED FROM 8 AM TO 4 PM - DEBIT E CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS PARCEL TAX I.D. # PERMIT # <br />,�'�„^2S.F. J r AlI{�YA EJG/cti 2SOS/8�4�0�$00 � �� %'OO:� <br />LEGAL LOTNO. OCK TRACT <br />• SSZ•G%CO <br />ft�adFa: t CornpQnies 20��/ S• cJ. d��c1, Sr. Ne�Pe�f 6ea�M, CA 4 Z6bo- l797 <br />TENANTNAME CONTACTFORPERMir PHONE <br />CONTRACTOR S•O•DMCay Car,o. Dfi.J,A� ADDRESS CITYIZIP <br />� 8e�k�ua��J? <br />CONTR.LICENSE# 23�5 �3otc,ave N��$ttZ� q't3�05 <br />SDD EACYYIr?IBNT <br />USE OF BUILDING <br />EklSfvnq Ma// <br />WORK DESCRIPTION <br />NO. <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhlub <br />Lavatory (wash basir�) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes washer � <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />HEATSOURCE <br />__ Electric _ Gas _ Olher <br />r( , % <br />N0. I <br />PHON[ <br />4t2S � t8� � `�n� <br />CONTRACT PRICE OF WORK <br />-� 776. Sa5 '°° <br />II:AL <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Waler healer <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heatpump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriti(y that I have read and examined Ihis application and know the same to be true and correcL All provisions of laws and <br />ordinaces governing this lype of work will be corplied with whelher specifed herein or not The granting of a permil does not presume <br />fo give aulhoriry to violate or cancel the provision of any olher stale or local law regulaling construction or the performance of <br />construction. That I am aulhorized by the owner of this property to perform the work for which application is made and I comply wilh the <br />Stale Contractors Law 1827 RCW and 296200 WAC. <br />�JASorJ M�7'cALF <br />