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SITE ADDRESS <br />� <br />LEGAL LOTNO. <br />DESC. <br />OWNER <br />Tv►n 2 P <br />TENANT NAME <br />P�RMIT APPLICATICSN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-7_57-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />G�t�-�� <br />�'yZ03�. <br />BLOCK <br />yl .�-�•s L � C, <br />CONTRA^•T�' � � �QY(� <br />CONTR. LICENSE # /' � . <br />IISE Of BUILDING <br />WORK DESCRIPTION <br />�¢bi -1-1`OAi � <br />PARCEL TAX I.D. # <br />TRACT <br />AUUKtSJ / � / ' <br />Zyp'� �• L.p.X.L 7/.��7�1 � <br />,� �. �.._, .� �� <br />FOR PERMIT <br />Cil � CG�.GF�1 I �� <br />ADDRESS <br />2 4JO7 �. Gl+l„c <br />cirvrziN <br />iGk�N.t <br />Su�w"p"�sl� <br />q y�7�) <br />SOURCE <br />� Eleclric _ Gas _ Other <br />a -9 � <br />PERMIT# <br />— V <br />Zly� =��"yZ <br />PHONE <br />2nb- 77k -6ng'° <br />PHON� <br />�l ZS'- LI � z <br />c�9av <br />�ONTRACT PRICE OF WORK <br />��%�0 � ��% <br />j�vl� �'r,�f2�, � :tis�J�all Zn.Y�✓ /�a�'�.. G'�tiv�s� �'y..s�F�t.l1 ��S <br />�'p�u� �t„�i .�G �� ,(t°N o��e��r' <br />NO. I TYPE OF PIXTURE OR ITEM <br />� Toilel <br />� Balhtub <br />� Lavatory (wash basin) <br />_ Shower <br />Kitchen sink & disposal <br />Dishwasher <br />.� Clothes washer <br />Waler healer <br />Sink (service/bar/mop/elc.) <br />Backflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />li �/� r` H L-i v; w� �� ��.-` <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air syslems <br />� Gas piping <br />W ater heater <br />� Gas fireplace <br />Gas range <br />� Clolhes dryer <br />Range hood <br />� Exhaustfan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodslove <br />Olher <br />CITY Of EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know lhe same to be trua and correct. All provisions of laws and <br />ordinaces governinc� lhis lype of work will be complied with whether speci(ied herein or noL The granting of a permit does not presume <br />to give authoriry to violale or cancel the provision of any other slale or local law regulating construction or the performance o( <br />construclion. That I am aulhorized by the owner of this propeRy lo perform lhe work for which application is made and I comply with lhe <br />State Contractors Law 10.27 RCW and'196.200 WL�C. <br />�/ ry / ����7 <br />Signalu O n''er7�`ontr�etorlAuthor¢ed Agent Da e , <br />Z <br />