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s <br />PERMIT APP�.ICATIO[V <br />CITY O'F EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACGEPTED FROM 8 AM TO 4 PM <br />SITEADDRESS S�'Tti gA,'wc�ii 9isao PARCELTAXI.D.# P���O� /„ <br />6a� S``. �-v�.�ctl- N�a�l w2 a5os o0 0 � "/ `� <br />LEG LOT NO. BLOCK TRACT <br />DESC. <br />OWNER ADORESS SV C�i. R'� CfTY2JP�Og PHONE <br />c� <br />(Zol�t�nsc,� � n ��,,rl`,��s Sov s � �v ��v-c.t1 Matl W � �-v �K.ti C.��-s)�S3- � �� oa <br />TEN/WT NAME CONTACT FOR PERMR "'� PHONE <br />�TA h^. �•��r�1 a�1 (�+-t�S I 1-�z�,�• L° .a�� c ti as) 3 Hn- So y� <br />CONTRACTOR AD�RESS CITY/LP PHONE <br />(��po11� Ntn��,��^c, Q�CY� �ja�oour t�lac�,su�-tc. ao`b L�t��3�t�1-stx-r� <br />-v <br />USE OF BUILDING <br />HEATSOURCE <br />_ Eleciric _ Gas _ Olher <br />WORK DESCRIPTION <br />�v.5fal� u) v�o�.'��lvm�.•.�-i� Si�� o,r. s-toYc.-�-��1- <br />S/GN i9,CdA 3� 4Y <br />NO. I TYPEOFFIXTUREORfTEM <br />Toilel <br />Bathtub <br />Lavalory (wash 6asin) <br />Shower <br />fGtdian sink 8 disposal <br />oishwasher <br />Ciothes washer <br />Laundry tray <br />Sink (servicelbadmopfeta) <br />8adcflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greasetrap <br />Roof d2ins <br />Olher <br />CONTRACT PRICE OF WORK <br />�'�,SDO� <br />NO. � TYPE OF FlXTURE OR REM <br />AIC — air hanNing unifs <br />Forced air systems <br />Gas piping <br />Waler healer <br />Gas fireptara <br />Gasrange <br />Clothes dryer <br />Range hoai <br />F�cheustfan <br />hleat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woods[ove, <br />Other �` i� � <br />CfTY OF EVERfl"f LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriliry �hat I have read and examined ihis applicalion and krww lhe seme to be true and cortect. All provisions of laws and <br />wdinaces goveming �his type of woAc wiil be compiied wilh whelher speafied herein or not The granting of a pertnil does nol presume <br />to give aulhority to violale or cancel lhe provision of any other sWle w lodl law regulating consWction a the parfortnance of <br />consWclian. That I am aulhorized by lhe owner of ihis property to perform the work fa which applia6on is made and 1 comply with the <br />Stato Conlractors Law 7627 RCW and 296.200 WAC. . , <br />