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MRR-7-c205 08:35 FROM: T0:14252578857 P.2 <br />� <br />- �. . <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVlCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 �; www.everettwa.crg <br />3 —o �' <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DE�I �& CREDIT CAROS ARE NOT ACCEPTED <br />:. TE AD�RESS �l�, � r / <br />Z-2 S /1i! � T <br />LOTNO. I BLOCK <br />OESC. <br />� � 1�.e <br />TENANTNAME <br />� �� <br />PARCEL TAX' I.D. # <br />O��F3S �4�a <br />Traacr � <br />�4t�/flYl f� <br />CONTACTFORF <br />Lr�(�. ' <br />CONTRAC,TOJR � / �l , _ �� �� �C <br />�..✓i�J �L � � 1 � "l �7 .// l� <br />CONTR. LICENSE if <br />I ,�A�c'N / �'� 4'7l ci6 5 <br />USE OF BUILDING �� I — HEAi � OUF <br />Electric x Gas <br />WORK OESCRIPTION <br />--fl� f�-� � �s <br />w� So � � <br />e�� � unnu�i+ <br />No. I 7YPE OF FlX7URE OR ITEM <br />Tailet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen slnk 8 disposal <br />Dishwasher <br />Clolhes washer <br />Laundry lrey <br />Sink (servicelbar/mop/etc.) <br />Back9ow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Root drains <br />Other <br />�f �<�� <br />ocne� <br />T <br />� — <br />� ar 34`7 S�'/�Z, <br />PHONE <br />OLf-' 77U 3�"� <br />PHyOHE�/ .� a t� <br />L� VV(O �4 � 7 (�Ci <br />�;Q/ �� l//��J <br />CONTRACT PRICE OF WORK <br />���� — – <br />TYPE OF FUCTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas pipin9 <br />Weter hea!ar <br />Gasfueplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exbaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrige2tlon <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TIJC COOE IS 3105 <br />i <br />I hereby ceritlry lhal I have read end axemined lhis applieallon and know the $ame lo be true anA correct. All provisions of laws and <br />ordinaces governir.g this rype of work will he complled wilh whether speci0ed herein or not. The granling of a permit does not presume <br />lo give aulhority t� violale or cancel lhe provision of any other state or local IaW regulatlng conswctlon or the performance of <br />conslrucllon. 7hat i am aulhorized by tha owner of this property to peAorm the work forwhich applicatian is made anA i comD�Y With the <br />Slale Contrectors Law .27 RCW and 296.200 WAC. <br />�fir���, �3��,�C� 3r� �Qs- <br />Sig ur of Owner/Contrec[arlAulho Agenl ate� <br />