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P�RMIT APPLICATIC,nI <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STR�ET, 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 A2DDR/JESS p / PARCEL TAX I.D. # <br />G J% 7 � R f^ r I�W r /\ Cf _ <br />LEGAL LOTNO. BLOCK TRACT <br />�ESC. <br />OWNEP. ADORESS GIT-Yy2yl-F� <br />C°7�s'/ �^�,VinSC•1 ` ✓� / l�l/`ir+wr �t�4 �✓lGvi.l�% <br />TENANTNAME <br />CONTRACTOR <br />�'��ihG�f/" �/a�S <br />CONTR. UCER9[ # <br />s e�z kZ <br />f SAi-t// �C <br />USE OF BUILDING <br />��5 <br />WORK DESCRIPTION , <br />COI7�'��r%C�� <br />7�q141 7I� <br />NO. I TYPE OF FIXTUR[ OR ITEM <br />Toilet <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Water healer <br />Sink (service/bar/mop/cicJ <br />Backfio�v prevenler <br />Urinal <br />Drinkinc� Fountain <br />Floor drain <br />Greasetrap <br />Roof drains <br />Olhcr <br />CONTACT FOR PERMI7 <br />/—Ci L�� � fs� !r <br />AD�RESS <br />3% / �c r�-�%i�� <br />`� - �- `� 7 <br />PERMIT # <br />MG70� <br />S <br />�/zs-L ��- 9 <br />PHONE <br />�2s -z3�-/7Z�' <br />CITY2IP PHONE <br />�c�vf/` yzs z�%- 2/�/ <br />%9�z cl <br />HEATSOURCE <br />� Eleclric _ Gas _ Olher <br />�/-rC fr�'c... ���i'n 4 LG � <br />�C NTRACT PRICE OF WORK <br />5��3�''`= <br />P�r'%/JG;��I.. j`� 574�, <br />NO. I TYPE OF FIXTURE OR ITEM <br />� A/C — air handling unils <br />Forced air systems <br />Gas pipin� <br />W ater healer <br />Gas fireplace <br />Gas renge <br />Cbthes dryer <br />Range hood <br />Exhaustfan <br />� Heat pump <br />Unit healer <br />Boiler <br />Refrigeration <br />� Woodsleve <br />Other <br />CITY UF EVERETT ZOCAL'$ALES TAX CO�E IS 9105 <br />I hereby ceriiify fhat I have read and examined this application and know lhe sarn� to bo true and correcL All provisions of laws and <br />ordinaces aovernin� this type of work will be complied wilh whether specifed herein or noL Tho granting ot a permit does not presume <br />tn give autlionry lo violate or cancel lhe provision of any othe� slale or local law regulating conslruction or lhe per(ormance of <br />conslruction. That I am authorized 6y the owner ot this property lo perform lhe vrork for which application is made and I comply with the <br />Stale Conlrac�ors La�v �1P� ? RCW and 7�62GO 1NAC. <br />j =//�//J.��x"—� �' -z -� 7 <br />