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PERMIT APPLIGATION <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />LEGAL LOTNO. � BLOCK <br />uesc. 3s�U <br />OWNER <br />�-�-��p'� � ��'i SC�c� � <br />TENANTNAME <br />L.�'� o y" <br />PARCEL TAX I.D. # <br />c���sl�Z�O�� O� i�%C% <br />TRACT <br />; �� 6 (-�G i-� <br />I CONTACT FOR PERMIT <br />l��c�S��,� �u��-��� <br />tVerP`E� <br />�C RACTOR C��, 5✓�+- �G ��U^r`', ADDRESS CITY/ZIP <br />��"� /�c ��t�C--�i�-r' j j �.5 LL�SeiZC� ��� . <br />ONTR. LICENSE N /.'G^'� <br />USE OF BUILDING <br />('Ci � c� <br />HEATSOURCE tl�� <br />�V <br />_ Eleclric _ Gas _ Olher <br />WORK DESCRIPTION <br />(�P�11L�11SI C{C�'G�� <br />NO. I TYPE OF FIXTURE OR IiEM <br />Toilel <br />Balhlu6 <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes •.vasher <br />Water healer <br />Sink (service/badmop/etc.) <br />Back(low prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />ERM T # <br />� �o�- �� <br />PHONE <br />`r�ei � s� -7> � s <br />PHONE <br />�5�-77�5 <br />PHONE L(/Zrj�' <br />�SYi�4S� �( <br />I <br />CONTRACT PRICE OF WORK <br />� <br />NO. I TYPE OF FIXTURE OR ITEM <br />�— <br />� <br />A/C - air handling unils <br />Forced air systems <br />Gas pipi�g <br />W ater heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Ranc�e hood <br />Exhaustfan <br />Heal pump <br />Unit healer <br />Boiler <br />Re(rigeration <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3705 <br />I hereby ceritify thal I have read and examined this applicalion and know the same to be lrue and corr�:L All provisions of laws and <br />ordinaces governing Ihis type of work will be complied with whether specified herein or nol The granting of a permit does not presurne <br />to give aulhorily to violate or cancel the provision ot any other state or local law rec�ulaling construction or ihe p�rformance of <br />consiruclion. Thal I am authorized by the owner of lhis property to peAorm lhe werk (or which applicalion is made and I comply with lhe <br />Slale C�Sntractors law 18.27 RCW znd 296200 WAC. <br />/' r ` <br />��i n tn .,-. 1 � � � . .l� � ��� / C� l0 <br />, c-... _ <br />