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P��RMIT APPLICATII,N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, V�/A 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS PARCEL TAX I.D. # PERMIT # <br />���. calc� � l7r. C��� `l�G <br />LEGA LOTNO. BLOCK TRACT <br />DESC. i <br />Ly/1/lt I"Iv�jG(� <br />TENANTNAME <br />�a^'� Ll5 G�'..Y/✓P. <br />aSo9 Lec�^�r� �r. f dr.rc!{ <br />I CONTACT FOR PERMIT <br />CONTRACTORs����d�r,���,� q-S�u.rd <br />CONTR. LICENSE # ��(I/OSS�Y.30 N <br />USE OF BUILDING <br />S � r� �e ��, w.: �i <br />Res�c%n�:t <br />WORK DESCRIPTION �m�� e� s?��`y <br />(i IYC7nc, <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Ba�hlub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Laundry tray <br />Sink (service/bar/mop/elc.) <br />Backflow preventer <br />Urinai <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />�'iSr.1vl <br />S�,•K as �, � �re_ <br />ADDRESS CITYRIP <br />g,�s vY�� A��. u� ,,� o <br />�'✓���k����•�, r.�h. 9��x <br />HEATSOURCE I <br />_ Electric _ Gas _ Olher <br />Lt%l,��r'� ��(2�C� � IY�iG.4' .al��h �nmf <br />y,�s-a,5a-9/3� <br />PHONE <br />PHONE <br />�/iS -�}65 - 3��%- <br />CONTRACT PRICE OF WORK <br />3 3�� +�' <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas pipinc� <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rangehood <br />Exhauslfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodslovo <br />Other <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 1105 <br />I hereby ceritify lhat I have read and examined lhis application and know lhe same lo be true and correct. All provisions of laws and <br />ordinaces governing this type of work will be complied wilh whelher specified herein or not. The granting of a permit does not presume <br />to give aulhority to violate or cancel the provision of any other slate or local law regulating construction or the performance of <br />construclion. That I am authorized by the owner of this property lo pEAorm lhe work tor which application is made and I comply with the <br />Stale Conlraclors Lavt1827 RCVWiand 296.200 WAC. <br />