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P�MIT APPLICATIO� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEF;ETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857' - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED PF.OM 8 AM TO 4 PM <br />SITE ADDP�SS <br />� o ] _S�� - L�2� i ` i <br />LEGA LOTNO. BLOCK <br />DESC. <br />OWNER <br />(�0(��nlso U �'nu��.r7��� <br />TENANTNAME <br />H �a � y �,�/� l3 U(,�,2 '�— <br />CONTRACTOR �%l�' , �S ��s��2� <br />i rii <br />CONTR. UCENSE # (�C� � C � %S, <br />� <br />USE OF BUILDING <br />WORK DESCRIPTION <br />/N 57+� �L -l�" <br />�,�s; rd-�-� 3/b� <br />� _ c� i -d�� <br />� <br />�PARCEL TAX I.D. # <br />Y Z�'a r/r�� � 3 0 <br />TRACT <br />ADDRESS <br />c.[[G S" SF �-✓ <br />CONTACT FOR PERMIT <br />1 ���iJ� �—lO <br />�DDR`� J. (��x .SJT6Z <br />HEATSOURCE <br />_ Electric _ Gas _ Other <br />Ji,,'�, � 122�uh'�� DJ(Zti <br />NO. ' TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water healer <br />Sink (service/bar/moplelc.) <br />Backflow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />PER IT # <br />r'✓� �U 7 - U I �- <br />�� <br />P�� ��' �%) <br />CITY2IP PHONE <br />�uk,�.�[.a. �%a��21.�_B77S" <br />wa. 9�/3� <br />CONTRACT PRICE OF WORK <br />� �.�`'u �'---� <br />' j�: �- � � 2,+2 /a, i3 . V/�sli,�� �o v ki�l <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas pipinc� <br />Waler healer <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby cerilify that I have read and examined lhis application and know the same lo be true and corcecl. All provisions of laws and <br />ordinaces governing lhis lype of work will be complied wilh whelher specified herein or nol. The granting of a permit does not presume <br />to give aulhority to violate or cancel lhe provision of any olher stale or local law regulaling conslruclion or the peAormance of <br />conslruction. Thal I am aulhorized by lhe owner of lhis property lo perform lhe work for which application is made and I comply with the <br />Slate Contraclors Law 1 27 RCW and 296200 WAC. <br />� _ � , f�`� i/I l /� � <br />