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SITE ADDRESS <br />LOT NO. <br />F��RMIT APPLICATII,N <br />CITY OF Ei/ERETT PERMIT S�RVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.e�n:rethva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />PARCEL TAX I.D. # <br />� —�-06 <br />riobd8-oaa <br />OWNER AUUKhSs i.nriur rnvn <br />�i��O L S� Ci�/%%yI�PZLC� �^ �425' 3S3 � �POD <br />OC�I I�Sac�/ }7�71,1 Li; � � 'j%' L-'�� <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />(�4�c3`f �oc�- t� Fo fl�-v�� �r h5 ��� � w � 4 Ls ) 2sz - 31/�{ <br />CONTRACTOR A�DRESS CITY2IP PHONE <br />i� ���z�r.c,�v 5'� � tf��'l� �� vzo (���� c��r 9�ra ���/ Z�z-�r�y <br />CONTR. LICENSE # <br />cvc:-��ssa zzoT <br />USE OF BUILDING <br />d�Ftcc: <br />WORKDES�RIPTION R`p��� <br />�;,4s/�ec�ti�� �ooF7� <br />HEAT RCE CONTRACT PRICE OF WORK <br />_ Eleclric � Gas Olher �, � S`� .� <br />i � <br />EX lsr� nx izo o� T�� UN � wl NL.c�.� S`tmv <br />rJ CI�v�T � l�GT ��.z�/��t�o�5, �/��T r21 <br />NO. � 7YPE OF FIXTURE OR ITEM <br />Toi!et <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Laundry lray <br />Sink (service/badmop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Bailer <br />Refrigeration <br />Woodstove <br />Other �151�� <br />CITY OF EVEREIT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this type of work will be complied with whelher specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of a� other state or local law regulating construction or the performance of <br />construction. Thal I a authorize y t ner his p}operty to perform lhe work for which application is made and I comply with the <br />State Co ractors 18�.1R n/� WA . �/ �...� <br />�y <br />