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SITF ADDRESS <br />i7�� Vk <br />LEGAL LOT N0. <br />DESC. <br />iry�Z <br />TENANTNAME <br />P�RMII' APPLICA�IC�N <br />C{TY 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 <br />PARCEL TAX I.D. # <br />Z`�D�ob �p Uo <br />TRACT <br />g0-7�� �• Lti�v[ Snmw� <br />Z <br />CONTACT FOR PERMIT <br />IyuGHh�L %t'�+�vsc,v <br />CONTRACTOR -rniSN IN%E21G �Q�'K�'H+S ADDRESS �,r LNIc+G AJ;j <br />CONTR. I.iCENS[ # I v� Z^� ,`� `l ZS N1�'HPIM. i�~ P'� s� <br />b H y Yi <br />USE UF BUILDING' <br />2���." <br />HEATSOURCE <br />Eleclric _ Gas _ Olher <br />WORKDESCRIPTION G�il � ,tis{�1l% <br />,1oui-l-�onJ c,F U':�ry.,.�ow"� '�' <br />P;(';,,� -�'v✓ �,��,✓ Nvn,- o�2h� ✓ <br />NO. I TYPE OF FIXTURE OR ITEM <br />� Toilel <br />� Bathtub <br />� Lavatory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />� Clolhes washer <br />_ Water heater <br />Sink (serviceNar/mopletc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />CITY2IP <br />9YD �y � <br />� -i-b7 <br />P RMIT # l/ � <br />� �O O _ , <br />PHONE <br />r�� NN2 - a190 <br />PHONE <br />Zbb- 77� -Ei9=s'D <br />PHONE <br />�12r- yN2-o�`, �O <br />CONTRACT PRICE OF WORK <br />� ���o, vo <br />2 N�i.✓ +�ntl-rodw�, Yt�hs � ��l6fall.'� �ns <br />36" F;� plcw-v i'i.. G;v;�� 2yd�`'t <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air syslems <br />� Gas piping <br />Water heater <br />� Gas fireplace <br />Gas ran�e <br />� Clothes dryer <br />Range hood <br />7� Exhausl fan <br />Heat pump <br />Unit heater <br />Boiler <br />Re(rigeration <br />Woodslove <br />Other _ <br />CITY OF EVERETT LOC,1L SALES TAX CODE IS 3105 <br />I hereby cerilify thal I I:ave read and examined lhis application and know lhe same to be true and correct. All provisions of Ia�Hs and <br />ordinaces gwemina ths lype o( work will be complied with wnelher speci(ied herein or not. The grantiig of a permit does nol presume <br />to give authority lo violale oi cancel lhe provision of any other state or local law regulating consWction or lhe performance of <br />conalruction. That I am aulhorized by lhe owner of this properly lo perform lhe work for which application is made and I comply wilh lhe <br />Stale Contractors Law 18.27 RCW and 2'J6 WAC. -� <br />,-`_7 � - , ''� Z�G��7 �/� <br />� <br />