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P�RMIT APPLICATI(�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERFTT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM /`a �����'i <br />SITE ADDRESS <br />�r'Z o Z f�� y� --�ve <br />LEGAL LOT NO. I BLOCK <br />DESC. � <br />W Jo��Gn <br />TENANTNAME <br />j l.G �ve�Y'�!ClrnlL <br />" C�.r.+�aec ti" <br />PARCEL TAX I.D. # PER4qIT # <br />UG,S�220220U �o z }�h yp (� -6� <br />TRACT OR SUBDIVISION p <br />ADDRESS CITYIZIP PHONE <br />�/Zaz �j¢r4ve �vPie7T %�203 <br />�ONTACT FOR PERMIT <br />e�� /3�,��,uq <br />PHONE C�ZS' ,�jjO-2� jD I <br />E•MAIL�106 ��d"'ec�q./<</t� <br />� <br />CONTKACiOH HUuntaa �.��vur ��— rnun� <br />�Y�LIn� %1eL�nlC�i .�J�l.akp'�5 .232�v ^�av�3�2S�" �UP�'L// ��� z/ <br />CONTR.LICENSc#�^uN��s ���� �1��'/�%'���0 <br />-�ri <br />USE OF BUILDING <br />��'�ce <br />WORK DESCRIPTION <br />/n S�t� (/ �'v e <br />HEATSOURCE <br />� Eleclric _ Gas _ Olher <br />CONTRACT PRICE OF WORK <br />00 <br />„3%oaa <br />�f��f � ��jSfe.-� ��G � O"U�•�_5 f �� �?%G•c�eci �A., 5 . <br />PLUMBING <br />NO. I NPE OF FIXTURE OR ITEM <br />Toilel <br />OathWb <br />Lavatory (wasli basin) <br />Shower <br />Kitchen sink 8 dis���osal <br />Dishwasher <br />Cblhes washer <br />W ater healer <br />Sink (servicelbadmop�etc.) <br />�ackflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Olhcr <br />�67 <br />� <br />TYPE OF FIXTURC GR ITEM <br />AIC – air handling unit; <br />Foiced air syslems <br />Gas piping <br />W aler hr,ater <br />Gas (ireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhauslfan <br />Heal pump <br />Unil healer <br />Boiler <br />Refrigeration <br />Woodstove <br />C�TY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />I hereby ceritify that I have read and examined lhis application and know ihe same lo be true and cerrecL All provisions of laws ai id <br />ordinaces yoverning Ihis type o( work will be complied wilh whelher specitied herein or not. The 3ranting o( a permil does not pre,ume <br />to give authority lo violate or cancel the provision ot any olher stale or local law regulating construction or Ihc� pedormance of <br />consiruclion. That-I am 2utl)orized by Ihe owner of �his properiy to perform the work for which application is made and I comply wilh the <br />�Slale nlraclors Laav tU.➢17 RCW and 29G.200 WAC. � <br />�''L . �o i � 7—�EJ / <br />c._....i..... _rn.........ir,..���..,.�...in..u....:....1 n......1 flalo <br />I / -; II <br />� `- <br />°M <br />