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r ptRI1�IIT APPLICQ►Ti(�N <br />CfrY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WH 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />2��/ � APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />SITE AUDRESS PARCEL T?,X I.D. # <br />����ilcyf i.�vr Ev��r!! w',a �IJ"l6�%0(7n�1�f0'? <br />L� LOT N0. BLOCI( 7RACT OR SUBDIVISIUN # <br />DESC. <br />,%i��5 Cc��'nC�l L�� S��OliO;»�Sli Cd:t�iiy iSC+) �•�el/ Sirrr�, Fv�i�l1 �%7 9b�'aE <br />TENANTNAME <br />�I74CK L�/�J CC��7�E/ <br />�� t o � z. ou�-( <br />_�� <br />�l 7 � il l <br />—e� � - • <br />yt5)15I- 7370 <br />CONTACTFORPERfd1T PHONE , <br />, 9<5J 4c3 5657 <br />;J,,�n,:�/hn�l J�-�il�u� E-MAIL J:n�hna��ndvF�rP:nr4 <br />i)d�.1N�s'i) Fuli; Pl'OIECiipN �?��. <;�'.t /59S �.f.�CCd�nv;l�C 4�a %S�'71 �1��9K3 ��GS/ <br />CONTR. LICENSE # j� �)�>�iv`.n/ °j �%G'L- • <br />USE OF BUILDING <br />Mtxrd <br />WORIC DESCRIPTION <br />J1dd,,,y .� �;� ���«,a„�y <br />NX�S�in� [:'. � S/'/�i1KlPi <br />HEATSOURCE <br />_ Elec�ric _ i;as _ Olher <br />CONTRAGT PRIGt Ur wuttn <br />�7,5'00 <br />J�.,��,iKlri hrc:d� ii)i�� i�rc�- cc'i1�/IJ,S ��Oni c1,� <br />� ys �� ;n. <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Balhlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 dispusal <br />Dishwashor <br />Clothes washer <br />Waler heater <br />Sink (service/bar/mop/etc.) <br />Backtlow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greaso lrap <br />F;oo( drains <br />C�lher <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water healer <br />=Gas fireplace „ 1 _ <br />Gas range A �1✓ � <br />Clothes dryer �1��� � � <br />Range hood / �/ <br />Exhaustfan <br />=Heal pump � �., \ � ^ �,�^ <br />Unit heater i� �� � <br />Boiler <br />Re(rigeralion \,V <br />=Woodstove �'� �� <br />Other <br />CIN OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />1 hereby ceritity thal I have road and examined this application and Y.now the samn to be lrue and correcl. AIJ provisions o( laws and <br />ordinaces govoming this type of work will he complied wilh whether specitied herein or noi The granling o( a permit does not prosume <br />lo give authority to violate or cancel the provision of any other state or local law regulating conslruclion or the par(ormance o( <br />conslruction. Th2l I am aulhorized by the owner of this property lo qerlorm lhe work tor which application is msde 2nd I comply with lhe <br />Stale Conlr�ctors Law 18.27 RCW and 296.200 WAC. <br />;lu��iE.� �'I� Il��i1 /G -LIL �%D / <br />OwnerlContraclor/Authorized Agent �a�e �('L <br />