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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREIT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org G--1 � O 9 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />c '� <br />LErqL LOTNO. <br />DESC. <br />OWNER <br />� �Il`�so <br />TENANTNAME <br />CONTRACTOR <br />Ttf E5c2 y �ac <br />CONTR. LICENSE ii <br />�������� <br />USE OF BUILDING <br />�-f-� � '� <br />PARCEL TN: I.D. # <br />u�ca <br />BLOCK I TRACT <br />CONTACiFOFPERMR <br />-S �iw� !tit <br />AODRE55 <br />8/ T c� t`'`i f•l' <br />� <br />� PHONE <br />��R� 8z� <br />CITY2IP PH E <br />l�,.k���4 w�' <br />�ao33 <br />HEATSOURCE <br />Electric _ Gas _ Other <br /># <br />Fzr <br />2 ca �� <br />yz� <br />�� G �' <br />CONTRACT PRICE QF WORK <br />� � �.�� <br />G <br />, • <br />WUKKUtSGRIPTION T�,,; S r�L LL �!�.LLLl�l1.�11KaT-w� -�2,hZ LL S� L <br />.1— � i J� <br />o I�/ So�i'�11 d �a57`- �C�r.�t �e ,v <br />�N�'I��L � '`�e75 cs� �ua� r✓!k� <br />NO. I TYPE OF FIXTURE OR REM <br />Toilet <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposai � <br />Dishwasher <br />Clolhes rrasher <br />Laundry tray <br />SinA (servicelbadmop/elc.) <br />Backtlow preventer <br />Urinal <br />Drinking Foun!ain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Olher <br />(. c1 �V e� l S�t �q '7-c=t�ta�� <br />N0. I TYPE OF FIXfURE OR REM <br />A/G—airhandling units <br />forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rangehood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />RefrigeraGon <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAI. SALES 7AX COUE IS 3105 <br />I hereby ceritify lhat I have read and examined this applicalion am i know the same lo be true and correct. All provisions of laws and <br />ordinaces govem�ng this type oF work will 6e complied with whethi r specified herein or not. The granting of a pertnit does not presume <br />to give aulhority to violale or cancel the pmvislon of any other stale or local law regulating consWction or the pedormance of <br />cons:r tion. That I am authorized by the owner of this property to perform the work for which application Is made and I comply with the <br />Stal ontrac�ors Lav�1Q2J RCW and 2; 6.200 WAC. n <br />('o �f�/ a <br />'IZ <br />