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SITE ADDRESS <br />%1—1 L�1c,r <br />LEGAL LOT NO. <br />OESC. <br />PERMIT APPLICATION <br />ClTY OF EVERETT PERMIT SEhVICES <br />3200 CEDAR STREET, 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 />PARCEL TAX I.D. # <br />Pe�v� [�e�iei�i� Gt�3`l3`� 0030V`l01 <br />�L K TRACT OR SUBDIVIS�ON # <br />���,s�,�,c� �a��� l � 1� <br />TENANTNAME <br />CONTRACTOR JD. Lx(:iVUr�l;i� <br />CONTR. LICENSE # . j a <br />>>r���� �� <br />USE OF BUILDING <br />Le�c:�� pri�e� � <br />CONTACT FOR PERM(I�T <br />"]US�n�C� 'T'�/'�� <br />HUURCJJ <br />�!i-i �;3`J A�C Jc <br />;�W `i�,zo� <br />WORK DESCRIPTION <br />� 5 1����4�c <br />17��h0 ��� G4 V �1 <br />NO. <br />N�E OF FIXTURE OR ITEM <br />To!let <br />Bathtub <br />Lavalory (vrash basin) <br />Shov+rr <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />SinY, (servicelbadmoplelc.) <br />Back(low preventer <br />Urinal <br />_ Drinking Fountain <br />__ Floor drain <br />Grease trap <br />Roof drains <br />Other <br />HEATSOURCE <br />PERMIT # <br />CITY2IP PHONE wE.-7g� ��Y��J <br />vEr��c�- �A �l�Zv3 � <br />PHONE ����� I (� I 0 �iI <br />Eleclric Gas Other <br />PF1UNt <br />42� 37`7 -'i`ib�► <br />��z; ��3 � - �-t6�1 <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEh1 <br />A/C - air handiing units <br />Forced air systems <br />Gas piping <br />Waler healer <br />Gas (ireplace <br />Gas range <br />Clothes dryer <br />Ran�e hood <br />E�,hausl (an <br />Heal pump <br />Unit healer <br />Boiler <br />Refrigeralion <br />_ Woodstuve <br />_ Other <br />CITY OF EVERETT LOCAL SALES TAX COD[ IS 3105 <br />' I hereby ceriti(y thal I have read and examined lhis application and kno�s Ihe same lo be true and correct All provisions of lavrs and <br />ordinaces governing lhis lype of work will be complied �vilh �vhelher specified herein or nol The granling of a permit does not presume <br />lo give aulhority to violale or cancel lhe provision of any other slale or local law regulaling conslruction or the per(ormance o( <br />construclion. Thal I am authorized by the owner of this property to pedorm the work for which applicalion is made and I comply with Ihe <br />I Sta Contracto/rs� Law 18.2�7 W and 296.200 WAC. <br />I ���r-�X � 11 � �7 �2Q 1 f�� <br />