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SITE ADDRESS <br />e� -F�} <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />SF-ve7 �VG, <br />TEMANTNAME <br />a � o ,. <br />CONTRACTOR <br />BBa�T S�ShServ�ct$ <br />ONTR. LICENSE # <br />- GGo�PO <br />USE OF BUILDING <br />R e.�-al � <br />WORK DESCRIPTION <br />;Gr�s��l � ov�e, <br />F <br />� <br />P�RMIT APPLlCATIGi� <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 TG� 4 PM <br />PARCEL TAX I.D. # <br />TRACT <br />, L�o �v���- <br />I CONTACT FOR PERMIT <br />3G0 <br />PERNIT # <br />`_, ;��� � O O <br />PHONE <br />y�.s-34�- <br />ADDRESS - CITY/ZIP PHONE <br />I(.tz�2�}-�e�l- �vciz.�-N��.`F�t M�►iC�ee.k, �afl 98a►2 <br />HEATSOURCE <br />_ Electric __ Gas _ Other <br />3�'oo�- b�y �o�'oo� w�t l I s i� n <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer � <br />Laundry tray <br />Sink (se.vice/bar/ op/e <br />Backflow preve er <br />Urinal <br />Drinking Founlai <br />Floor drain <br />Grease lrap <br />Roof drains <br />Olher <br />'i-CJ—SSu,� �40 <br />CONTRACT PRICE OF WORK <br />��soo. o0 <br />MECHANICAL <br />NO. I 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 rangs � <br />Clolhes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler i <br />Woodstove / <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriti(y that I have read and examined this application and know the same to be tr�e and correct. All provisions of laws and <br />ordinaces governing this type of work will be complisd with whether specified herein or not. The granting uf a permit does not presume <br />to give aulhorily to vioiate or cancel the provision of any olher state or local law regulating construction or the pertormance of <br />construction. That I am aulhorized by lhe owner of lhis property to perfortn the work forwhich application is made and I cornply with tho <br />State Contractors Law 18.27 RCW and'196.200 WAC. <br />