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� <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 - DEBIT 8 CREDIT CAROS ARE NOT ACCEPTED <br />SITE ADDkESS <br />��iZs�� <br />LEGA LOTNO. <br />DESC. �cz A <br />OWNER <br />S�-v�,�,a Av <br />7ENANTNAME <br />rAi2l�-c��=N <br />CONTRACTOR <br />T,'3,i,� , <br />CONTR. LICENSE M <br />USE OF BUILDING <br />WORK DESCRIPT <br />=N�coa- I <br />`�E57AuF��-� <br />5 P21e.:�LL-13 <br />PARCEL TAX I.D. # <br />BLOCK I TRACT <br />ADORE55 / <br />� <br />�' �� � ��d �� �-t �,-.� <br />I HEATSOURCE <br />,�, � �,, ���� _ Electric � Gas _ Other <br />�1PY � �so ty�n 9�� <br />PHONE <br />�a.5 3�3 -3R(� <br />CITY2IP PHONE <br />CONTRACT PRICE OF WORK <br />��iN/�%O�•QV <br />�tz�oPttiv_L`c�S�1iLl, F�-0o21N1r� Cb�IN�-S��'ao"R4 h�0 �Qvl•VMI.I�Tsro�.- <br />��Asz..o� LuMtic� No S�2a��v.�At,wJ2\� az il�is7mc, Ru�t wc2� ��S'1� <br />wiz�'3�v.�ot�L�SGYt�2PrR:,Pc.(imiT. ►.�VAc.�`��� Krf'�Nu�C-�M�T►�-�PS <br />�i1'C1� . � ,r <br />oi � �nir ��onunr.urn� <br />NPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (vrdsh basin) <br />Shower <br />Kftchen sink 8 disposal <br />Dishwasher <br />Clothas washer <br />Laundry tray <br />Sink (serviee/barfmop/e0c.) <br />Backflow preventer <br />Urinal <br />Drinking Founhain <br />Floor drain <br />Grease trap <br />Roof drains <br />Othar <br />NO. � TYPE OF FIXTURE OR ITEM <br />AIC — air handling units <br />Forced air systems <br />Gas piping <br />VJater heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refigeration <br />Woodstove <br />Othar <br />CITY OF EVERETT LOCAL SALES SAIC CODE IS 3106 <br />I hereby ceritiry that I have read and examined this application and know the same to be true and cortect All provisions of laws and <br />ordinaces goveming this type of work will be u,mplied with whether spedfied herein or not The granting of a permit does not presume <br />to give authority to violate or cancel the nmvi�on of any other state or local law reguladng construct�on or the perfortnance of <br />construction. That I am authorized by ihe ovmer of �his proparty to perfortn the work for whlch applicatlon Is made and I compiy wtth the <br />State Cont@�tors-Eav,�1827 RCW and 296.200 WAC. , , <br />