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PcRMIT APPLICATIC�N <br />�ITY 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 �..a-9' <br />SITE ADDRESS <br />/yz � �.a� �s G�.r <br />LEGAL LOT NO. BLOCK <br />DESC. Z Z <br />OWNER <br />CbU �J F !� �� � Jvo�+�cH <br />TENFlNTNAME <br />CONTRACTOR }�j�L��G �,O,p�rS IN< <br />CONTR. LICENSE #�At i F61 fj8$S� <br />USE OF 6UILDING <br />��� �r <br />WORK L�ESCRIi�TION <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />__ Toilet � <br />Bathlub � <br />_ Lavatory (wash basin) � U�L' <br />Shower <br />Kitchen sink & disposal <br />Oishwashor <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/elc.) <br />Backflow proventer <br />Urinal <br />Orinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Olher <br />PARCEL TAX I.D. # PERMIT p <br />0035' 2$ 00 /D Z�o? A�j` �(`/�j_-%Z <br />TRACT <br />gEvEecr ����s D,v. ti6 I <br />ADDRESS CIN/ZIP PHONE <br />Iy2fp ht.�plso�l Evso�c Z°L• 2z3 /sJ8 <br />CONTACT FOR PERMIT PHONE <br />�U GLSoN ¢ZS SD8 SC7 S? <br />ADDRESS CITYIZIP PHONE <br />Z72b � V C�r.uu� A�+c- <br />FvsQEq-- �.,�, y'-r Zs � -� 3 �/ <br />HEATSOURCE <br />Eleclric Gas Olher <br />CONTRACT PRICE OF WORK <br />3o,or�,.�� <br />2G, C� 7�, — <br />NO. I TYPE OF FIXTURE OR IiEM <br />_ A!C — air handlinc� unils <br />_ Forced air syslems <br />_= Gas piping �"I ��NC <br />NJater heater l� <br />_ Gas fireplaco <br />_ Gas rango <br />Clolhes dryer <br />Rango hood <br />Exhauslfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodslove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby ceritify that I have read and examined this applicatio,: and know the same to be lrue and correcl. All provisions of laws and <br />ordinaces yoveming this type of work will be complied with whethur specified herein or not. The granling of a permit does not presume <br />to give aulhority to violale or cancel the provision o( any olher stale or Iocal law regulaling consWction or Ihe ��,� �iormance of <br />construction. That I am aulhnrized by tho owner of this property lo perform the work for which application is me�e and I comply with the <br />State Contractors Law 18.�7 RCW and 296200 WAC. <br />' ,�J-� / . <br />� �'2 <br />�1 L <br />