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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 ��� <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org �� � :�C� - (J�3 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS I�D 2�� E1J�n.EIr MPrLL PARCEL TAX I.D. # PERMIT # <br />u�R� � t.VE�2�7T" UlAs�l IrJ6larl /`� SZ'�� - 3 <br />LEGAL LO� BLOCK TRACT <br />�ia.a ak ast <br />�YD9&ft1lES <br />TENANT NAME <br />„-. <br />�.-� i <br />CONTRACTOR <br />CONTR.LICENSE# � v �E��'(C�� <br />USE OF BUILDING <br />/li(��{��^l <br />WORK DESCRIPTION <br />tJa,� h-a.e.sl�and�Nc, <br />sra�ia.�N <br />FOR PERMIT <br />�(J' ,�Yl <br />ADDRESS �TYIZIP <br />��L,�. �CvYL, ����ls <br />HEATSOURCE <br />Electric � Gas _ Other <br />%49 • FPv2• 0700 <br />PHONE <br />S-�jZZ-112.3 <br />PHONE <br />CONTRACTp�2 ICE OF WORK <br />BIODiT:G l'S14SED o/�i <br />�(nniC. filn,�i4,�F A5U- <br />I lo Sc,re�.n �na.rr,�. F��si�l�o�r �� l�D��a37 S.F. <br />�Vl�,zza.nin� Ftao�r fl- to,000 s.F <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toitet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />�Kitchen sink & disposal <br />Clothes washer <br />Launar tray <br />Sink(se �ce/b2 <br />BackFlow p vei <br />Urinal <br />Drinking Founla <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />N0. I NPE OF FI%TURE OR ITEM <br />A/C — air handling uNts <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />ZS s range <br />Clo es dryer <br />Heatpum}� <br />Unit heater\ <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LUCAL SALES TAX CODE IS 7105 <br />I hereby ceritify that I have read and ezamined this application and know the same to be irue and correct. All provisions of laws and <br />ordinaces governing this type of work will be complied with whether specified herein or net The granting of a permit does not presume <br />to give authoriry to violate or cancel the provision of any other state or local taw regulating construction or the performance of <br />construction. That I am authorized by lhe owner of this property lo perform the work for which application is made and I comply with the <br />State-S`bntractors Law 7827 RCW ar�d296200 WAC. <br />S <br />