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P�RMIi� APPLICATlON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM J— a9_ O <br />SITE ADDRESS q <br />`� � I �-��YT %� V E <br />LEGAL LOT NC. BLOCK <br />D[SC. <br />I�Hi� S'M,7i <br />TENANT NAME <br />N <br />CONTR. LICENSE # <br />GR�Y � G+�e y <br />"y��`iZ-4 <br />`/ (; G � O:'f5 <br />USE OF BUILDING � <br />2CS/�tN�-�l S/NEt-E <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />� N�� f��� Cvc� <br />CONTACT FOR PERMIT <br />CNRls �Fy <br />PERMIT # <br />YF1UNt y U(kE <br />'� `/Z5 7�& l�l i <br />PHONE y� ��� .� <br />E-MAIL �-L-REYoR5UltoUEa��.o�u <br />(sJNT� 72 Vc 910 N v.. .� <br />=R Flt� rc !vr{ r Er�s rza . s-rq nl w�o� {ti!-1. q� z`, z- <br />%�f 7 <br />hT_. <br />HEAT SOURCE CONTRACT ARICE OF WORK -�� �� <br />�/ I � <br />_ Electric /�Gas _ Olher � ���� ��� �"�, <br />A � ��� <br />WORK DESCRIPTION <br />�Crnov� �,�is�iNG K17C1�Eti GA�/NE?� RE. USE il� C-/1Rh'C-[� \ <br />�Ej'�ll�C %�rTH /��GG,I CUS�U/`, �/{g'rNErr � Jvi+sc. �AiN� w 7/LE {vof�k �Oflk ��ooRiNC-� <br />i�ep�N�s�i �c KrscN��'s�NK W�7a N�w /�IDD B/�� Sii�K /IZCr�I�s <br />REr�-Il � No �'�"RUCf <br />lc'IjNG-C N�D��.l�r�rH NEW � f2�-�Sf Ek�'s-r. Av�-rN��lc^70 Ej(,7g/tio� G/-�ar,c-� <br />NO. I TYPE OF FI`:�fURE OR ITEM <br />lTi'a <br />Toilel <br />Bathlub <br />Lavatory (H�ash basin) <br />Shower <br />Ki�chzn sink 8 disposal <br />D:�hwasher <br />Clolhes washer <br />Wa�er heater <br />Sink (service/badmop/etc.) <br />BackOow preven�er <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Gmase trap <br />Roof drains <br />O�her <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C – air handling imi�s <br />Forced air syslems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heal pump <br />Unil heater <br />Boiler <br />Refrigeration <br />Woodstuve <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />I hereby certify that I have read and examined this application and know ihe same to be Irue and correcL All provisions of laws and <br />ordinances goveming this type uf work will be complied with whether specified herein or nol. The granting of a permit does nol presume <br />to give authoriry lo violate or cancel Ihe provision of any other state or loral law regulating consWction or ihe performance of <br />construction. Thal I am aulhorized by the owner of ihis property to per�orm the work (or which applicalion is made and I comply with the <br />State Con�ire�c%°rs Law 1817 RCW and 296200 WAC. <br />��vJi'��!��v �,� ��— �i� �� <br />c�....�e��o..i�r,..,�..,.— �,..�n,. ..� � <br />