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; <br />P�tR�.�IT APPLI��AiI(�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APi'LICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� , � g-o6 <br />�061�`�� <br />SITE A�QRESS PARCEL TAX I.D. # PERMIT # <br />G�(�I Lpcha��, p oo54y �o ISa►y03 <br />LEGAI_ LOT NO. � BLOCK TRACT <br />DES�'.� I��IS O!S �"�CHu�ST <br />OVJNER A�DRES:. CITYIZIP PHONE <br />�1�AP+ck 3Ros. �nlc-S' ,.512Z e�+-r' /1-v c.ti� �uc2E i 9�'2oS `(2S� 397-736� <br />TENANT NAME <br />CONTACT FOR PERMIT <br />S�ei NackC� <br />CONTRACTOR ADDRESS <br />1-a�ack BR�s. +.� v- Nc <br />CONTR. LICENSE p <br />USE OF 6UILDING <br />3`12.2 8� A c, . . <br />N�A�ckCizol2�Z Eve�2c�T <br />I HEATSOUkCE <br />Eleclric Gas Olher <br />WORK DESCRIPTION <br />L,EMU, I�XS'SST�JJb S r 2 <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilel <br />Balhlub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />BackOow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greaso lrap <br />Roo( drains <br />Olher <br />PHONE <br />ti2S-zyo-Z� 2� <br />CITYIZIP PHONE <br />�i2os <br />� 25- 3 �l-7 -�.3 b 0 <br />I CnNTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clolhes dryer <br />Range hood <br />Exhauslfan <br />Heal pwnp <br />Unit heater <br />Boilr.r <br />Re(rigeraticn <br />Woodstove <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br />I hereby ceriti(y that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces yoveming this type of work will be complied with whelher specified herein or not. The gra; �ting of a permit does not presume <br />to give aulhority to violale o� cancel tho pro���on of any olher stale or local law regulating conslruclion or the performance of <br />cqn6truclion. ThaN am aulfiorized by lhe o��:� r of lhis property to perform lhe work for which application is made and I comply with the <br />d.� <br />