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SITE ADDRESS <br />LOT NO. <br />-i � <br />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 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />s�,� ZS <br />P-�lc,.t � t <br />BLOCK <br />PARCEL TAX I.D. # <br />� 2SOs i �c:o3o4c� <br />TRACT OR SUBDIVISION # <br />T�,JP 9 � (�� � C�S <br />�� �ao-o> <br />PERMIT # <br />f� o� l I � <br />OWNER AbDRESS Gnrrz�P rnvne �tZ,� 357, �o�,� <br />Soc> SE E�t ir-N- hc��� �./ur, C�u�,� w v Y� 2c�3 <br />2(�ii�1N5o N Pro,Qe.r, � e� y i ti�.�et ,�P � Ts, � c- <br />TENANT NAME CONTACT FOR PERMIT HONE <br />n �t-ZS) 353-84� <br />D; 5�-`h�\ i r y��50� rcE ��nn�.. Nu-v� _..,._ _ E-MAIL .. � <br />vVs�/V i'L(caM«.5 <br />CONTR. LICENSE #�U 1„� �N y�'�Q�OG <br />USE OF BUILDING <br />�i �.,w„�i,� � ��-,L <br />�� S.c`E..e.��� <br />Mcrll wc.� <br />-� ra� <br />HEAT SOURCE <br />✓Eleclric '/Gas Olher <br />G �erer, i,�lA `/ 8Z�{3 <br />�4Z�% 3s3-��c� <br />I CONTRACT PRICE OF WORK <br />� 30c� C� <br />WORK DESCRIPTION — ,• 1— <br />� <br />Mo.re WLL�I s EY.PA.1-D 59ACL- r/fEYi�T�.`3 SGac.� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (servicelbar/mop/c <br />Backflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drei � <br />Olher <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />FOfCOd aif Systamc <br />Gas piping <br />Waler heate <br />Gas fireplaci <br />Gas range <br />Clothes drye <br />Range hood <br />Exhaustfan <br />Heat pum$' <br />Unit he�r <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify thal I have read and examined lhis applicalion and know lhe same to be true and correr.t. All provisions of laws and <br />ordinaces governing this type ot work will be complied wilh whelher specified herein or not. The granting of a permit does not presume <br />to give aulhority to violale or cancel the provision o( any olher state or local law regulating wnstruclion or lhe performance of <br />censlruclion. That I zm authorized by lhe owner ot this property lo perform lhe work for which applicalion is made and I comply wilh the <br />S;ate�ntrectors Law 18.27 RCW and 296200 WAC. <br />/Z <br />