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PERMIT APPLICATI <br />CITY OF EVERET'T PERMIT SERVICES <br />3200 CEDAR STi�EET, EVERETT, WA 98201 <br />425•�57-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTEU FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />y o � s, � � ���� ��L�.Qe <br />LOT NO. I BLOCK <br />PARCEL TAX I.D. # <br />y�os/8ao3'��b <br />TRACT <br />P�MIT # <br />�oS- / <br />ye+y ,3�s„��s �c�-�� CC.c 7�`�,3 N_�. �/a'`�`�vs l�irklc�.,�G Wy 9��,3� <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />t`� "do b� /�trry l�ad e��sa� 20E - 3�7—�o �d <br />CONTRACTOR �j� A� ��`` ,�/�,CJ ,�10DRE�4 b /� (�� <br />/1 �-� N v <br />CONTR.LICENSE# /��M��KI K /7SlYN <br />USE OF BUILDING <br />� <br />�y e�s�iz�...� <br />WORK DESCRIPTION <br />��Lu��, � <br />PLU <br />�� �s-!J3 <br />NO. I TYPE OF FIXTURE Oft ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Ciothes washer <br />Waler healer <br />Sink (service/bar/mop/etc.) <br />Packtlow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains� / <br />Olher /^41Ur �/�-l./� / <br />� <br />CITY/ZIP PHONE <br />c���--�J v�•�- 5' dy� � <br />HEATSUURCE <br />_ Electric _ Gas� Other <br />�,'�s� �,� �v <br />NO. I <br />/NCO� �I''a.lff� <br />/ <br />T, L <br />Zv�; -�67-,So/a <br />CONTRACT PRICE OF WORK <br />�/t�LLk?�..-. u`N. C� <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <Svi < V'1 <br />Waler heater � � <br />Gas lireplace <br />Gasranye t, <br />Clolhes dryer � �� <br />Ranc�e hood <br />Exhaustfan <br />Heatpump <br />Unit heater <br />Boiler <br />ReBigeration <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3195 <br />I hereby ceriti(y that I have read and examined this application and know lhe same to be true and correcL All provisions of laws and <br />ordinaces governing lhis type of work �:rill be complied witn whether speci(ied herein or not. The granting of a permit does not presume <br />to give authority to violale or cancel thc provision of any other slale or local law regulating cunsiruction or lhe peAormance of <br />conslruclion. Thal I am aulhorized by lhe owner o( this property to perform the work (or which applicalion is made �nd I cumply with the <br />Slate�Conirador� Law 18.27 RCW and 296.200 WAC. <br />