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SITE ADDRESS <br />y�zy I <br />LEGA LOT NO. <br />P�RMIT APPLiC��lON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM `� <br />j✓� Tc'A <br />,<<- <br />�7[�Z9:1 <br />PARCEL TAX I.D. # <br />TFiACT OR SUBDIVISION p <br />�,�r�' f�l� �Juj�r�a4i�•.� /`tctli ic-/ (T�r�Q <br />TENANTNAME � � CONTACTFORPERMIT PHONE <br />PERMIT # <br />M cxi v 3-oti I <br />I E�AIAIL <br />/C+ N7}iACTOR / A)ORESS �y CITY2IP /PHO ` <br />(/'f'.l'�/I Cf' /Llr.(G7<�/l� C[c� c�N.� t/rt%��,�(.^ .sZ.Z �i0 ��� �/�'�' j� f�'i%r ��/ <br />CONTR.LICENSEp n,^�%/,��M���IG�V- 'L�k�-' �� L�� �Q_��/`� <br />( 'S 'I <br />USE OF BUILDING <br />�t1� SC Mrt <br />VJORK DESCRIPTION <br />HEAT50UFCE <br />� � i I _ Electric J�Gas _ Oiher <br />�e/'�:•ct. L—/e.cir��c L�c✓rr i,.J�%Zt <br />NO. � TVPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Sho�vcr <br />Kitchon sink 8 disposal <br />Disnwashcr <br />Clothes washcr <br />Waler heater <br />Sink (service!bar/mop/etc.) <br />Backflaw prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease�rep <br />Roof drains <br />Olher ____ <br />CONTRACT PRICE OF WORK <br />� 17,,,Z`j/ <br />c �_1 r�,��r <br />NO. I T'PE OF FIXTURE OR ITEM <br />A!C — air handling units <br />Forced air systems <br />iX Gas piping <br />Water hea�er <br />Gas fimplace <br />Gas rangc <br />Clolhcs dryer <br />Range hood <br />Exhaus�fan <br />_ Heal pump <br />Unit hcater <br />� Boiler <br />Refrigeration <br />Woodstave <br />Other <br />CITV OF EVERETT LOCAL SALES TAX CODE IS �105 <br />I hereby ceritily ihal I have read and examined Ihis application and know Ihe same to be hue and correct. All provisions o� laws and <br />ordinaces goveming this �ype of work will be complied with whether specified he�ein or noL The granting ol a permit does not presume <br />to give aulhoriry lo violale or cancel Ihe provision of any other state or local law regulating consimction or the perbrmance of <br />cor,struction. That I am authorized by lhe owner ol �his property to pedorm the work tor which applicaticn is made and I compty wilh the <br />State Conlractors,Law 18.27 RCW and 296.200 WAC. <br />� <br />