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PERMI� APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CCDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.eve sttv.•a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 FM <br />SRE ADDRESS � PARCEL TAX I.D. # <br />�'iCID I"tAvpe��i /4`��`. Ro2a7� G�b �O��i U•�Od^.,'LD.,9 <br />LEGA LOTNO. BLOCK TRACTORSUBOIYISION7t <br />DESC. �a, iv071DO:�'L <br />OWNER ADORESS CITY?JP <br />DErJn�IS �' JI1.� RYAr� I�ato 1'iFta/tonlA Avt�luE �.'�En.Et7 48�03 <br />TENANTNAME <br />�� <br />RE, SE�.�,`G'7�G' <br />CONTFi. UCENSE p <br />USE OF BUILDING <br />S��cy6E t,o�i�� RE:�hCn17'1�{V <br />CONfACT FOH PERMIT <br />izo�E+'..T �.EcJ <br />HEATSOURCE <br />�C Electr�c _Gas_Other <br />PERMIT R <br />I+HONE �Zflr'�4q�i0�60 <br />RoBER7 �, rtRlEaA�+IiT Ed,�ra <br />cyeu <br />CONTRACT PRICE OF WORK <br />'�'Ig Soo / <br />WORKDESCRIPTION �1tpq�S�>�� OF EXIiT���Cy C�u�S7 �+E7Kar�� 1:`I 'L.It 4f Abp�7�n,� � <br />NO. I TYPE OF F1CTUflE OR ITEM <br />Bath�ub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Watcr heater <br />Sink (service/badmop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Othcr NeSti Rb;g _ <br />NO. I TYPE OF FlXTUHE OR ITEM <br />A/C – air liandling units <br />Forced air systems <br />Gas piping <br />Wa�er heater <br />Gas fireplace <br />Gasrange <br />Ciothes dryer <br />Rangehood <br />Ezhaustlan <br />—' fieat pump <br />Unit heater <br />. Daiier <br />R� `yeration <br />=I Woodstove <br />Olher <br />CITY OF E4ERETf LOCAL SALES TAX CODE IS 9105 <br />I hereby ceritify that I have read and examined this application and know the same to be lme and correct All pmvisions of laws and <br />ordinaces goveming this ty o(-nvo�'I�will be ccmplir.d with whether specified hemin or noL The granting of a permit does not presume <br />to give authority to viola or cancel th � visi�n ot any other state or local law regulating consiruction or the peAortnance of <br />construclion. Thal I am Itwrized- owner ol �his pmperly to peAorm the xrork for which applicalion is made and I comply with �he <br />= Statc Convactors Lmw18X7 qCW and 62p0 WAC. <br />7/-,/0 � J i <br />todAuthorize Agenf at %7� <br />