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PERMIi APPL�CAi'ION <br />CITY OF EVERET (' PEt�MIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-2E7-8810 — FAX 425-257-8857 — www.evereriwa.org <br />APPLICATIONS ARE ACGEPTED FROM 8 AM TO 4 PM <br />S!TE ADDRESS <br />LOT NO. I BLOCK I TRACT <br />PARCEL TAX I.D. # <br />�••�•_� quurcwa �u.�cir PHVNE 3Q3 8`18 194 <br />g�P ��vA�-=, �.$�5 wa� �.,o�a s�,��soo WI�tA-r�clD�e. (�A Soo 3 <br />TENANTNAME CONTACTFORPERMIT PHONE <br />Qclo}�, j�exi �n � G���u. I M 4rr 1.. �ss ��.v 206 8� 7 � 27 � <br />CONTRACTOR ADDRES CINIZIP FHONE <br />1NIt-�K �N:oN�jTw-C/�,1/r?�t G'�� A� b �t�jPS, _�'1����� <br />. CONTR. UCENS:: � „ � <br />�. W` , C� . aO G -- q�OZo ` . <br />USE OF BUILDING <br />�2-�/iv�.p-tJT <br />W�RK DESCRIpTION <br />HEATSOURCE <br />_ Elednc � Gas _ Other <br />CONTRACT PRICE OF WORK <br />i <br />7FNa,✓* /,�.� P� ✓e+H e� r F° K N e, �,�, �R-STi4 ✓/LA-NT. <br />� <br />�'C�% � �'liC�! /5� GQt' <br />PLUMBING MECHANICAL <br />NO. I 7YPE OF FIXTURE OR ITEM N0. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lava�ory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Uishwasher <br />Cbthes washer <br />�undry tray <br />t3ack� preventer <br />Urin21 <br />Drnking Fo ain <br />Floor drain <br />Grease trap <br />R�of drains <br />OihP.f <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas firepl�ce <br />Gas renge <br />Clothes dryer <br />Range hood <br />�chaust tan <br />Unit R <br />Boiler <br />CIN OF EVERETT LOCAL SALES TAX CObE IS 7105 <br />�T <br />: hereby ceritify that 1 have read and examined this application a�l know the same fo be true and conecl. All provisians of 6ws and <br />ordina: e= qoverning this type of work will be complied with wlether specifed herein or not. The granting of a permit does notpresume <br />to give authority to violate or cancel the provision of any oher state or local law regulalhg construction or ihe performanceof <br />construction. That I a ulhorized by the owner of lhis prope�y to peAortn ihe work for which application is made and I cromplywith lhe <br />State Contractors Ly�j 827 biCN and 296.200 WAC. s , <br />0 <br />y, <br />