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SITE,ADDRESS <br />� � I G' I,A,2t <br />LEGAL LOTNO. <br />G <br />$ <br />PERMIT APPLICAT60N <br />CITY OF EVERETT PERM17 SERVICES <br />3200 CEDAR STREF_T, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />TE;� NT NAME ? (�-- v' <br />�Jc;,.� . �-, � y � � - � <br />CONTRACTOR J j�ll;(� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />� l�c ��c.�'roo'%t'I Y i:U <br />BLOCK TRACT <br />CONTR. LICENSE � MJ a,;� f�-, <br />USE OF BUILDING <br />�� <br />WORK DESCRIPTION <br />�/J'3hu-� �l �N <br />�7i�tY ,7�; , ✓ c� <br />i„=� 2(� �.l.'�%k'�.1�.F1�- <br />CON7ACT FOR PERMIT <br />-�� l�� <br />C/�DDR/[SS Z�` <br />1J�� �IlJ �7 N�'li <br />�r J `�. r� �vh <br />HEATSOURCE <br />�T Eledric ,_ Gas _ Other <br />CITY2IP <br />�.( ��'�� ,'-��`> <br />) ,� <br />� �.. �i <br />PERMIT- 7# <br />) � / L% �. ��( <br />PHONE y J Z7 <br />�'�LIl.^�C'i�' <br />Llir <br />PHONE � <br />;o-7�T'�G��� <br />PHONE <br />'i�jF;�='�Ll 1%� <br />27 CONTRACT PRICE OF WORK <br />I �,cvo�— _ <br />Gi� /LirlbJLr-�'AG7�J=�=i�—� f%:M� i.�rTT{ f�U�%l�Vc:j 7 Y6'�� <br />�iM�� �� ,.� U K `l�� .� `i X -� �� <br />_..........,. / MECHANICA,L <br />NO. I �/ � n'PE OF FIXTURE OR ITEM <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/barlmop/etc.) <br />Back(low preventer <br />Urinal <br />Dnnking Fountain <br />Floor drain <br />Grease trap <br />Roof d2ins <br />Olher <br />� TYPE pF FIXTURE OR ITEM <br />A,'C - air handling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas ranc�e <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unit heater <br />Boiier <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SAL�S TAX CODE IS �705 <br />I hereby centify lhat I have read and examined fhis application and know the same to be Irue and corted. All provisions of laws anC <br />ordinaces governing this type of work will be complied with whelher specified herein or not. The granting of a permit dces nol presume <br />lo give authonty t i lale or cancel the provision of any other slate or local law regulating construdion or the performance of <br />consiru � n. Th t I a� ized by the owner of this pmperty to perform the xrork tor which application is made and I comply with the <br />State Ca �racto La 827 CW and 296200 WAC. <br />_ _ Z� �z�l U�i <br />