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SITE ADDRESS <br />�� l,�*�rc��I <br />LEGl�I. LOT NO. <br />i otsc. 5 <br />OWNER <br />i ���..e C�s�J <br />I TENANTNAME <br />I ti�/,�. <br />CONTRACTOR <br />�v/,� <br />CONTR. LICENSE # <br />Pi�RMIT APPLI�ATIC�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STR� ET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — wv✓w.everettwa.org <br />APPLICATIONS ARE ACCtPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. ti <br />4�- C�OYcrtT ��' c:C�r/$l03l3�6/G� <br />BLOCK TRACT <br />� n-m� i,��.u� n�� � �� �: <br />ADORESS <br />/O& �% /y"�erc; Fj r`Fl�c� ��e.�. <br />CON�ACT FOR PERMIT <br />����c C��I <br />ADDRESS <br />� � � —O� <br />PERMIT # <br />I� G`U�- UU �" <br />(,,��{ ���v Szs- Y3�-593s', <br />PHONE <br />��I : yLS`- 7�3-/89/ <br />�,,,.Y •,'1 z 5— �t 3 k—� 5 3S <br />CINIZIP PHONE <br />USE OF BUIL�ING HEAT SOURCE CONTRACT PRICE OF WOHK <br />RCSiryo+^!'��-�� ✓Electric_Gas_Olher -��Sr��•�G <br />WORK DESCRIPTION 7(�C I.l.y-l�-/.,S ,c� W�,IIS �'"�� r+-�^oQn'nl f—�%l St 2���vc�c� %1`c "�"' "-��+""v � <br />�;II �je SK-1/e/ so •f�cr-e ,...;1( 5� h�w �..,".� yn 9ee�-� %Ie �w�(e.- e..:o,ld,.., %1^e o lo.� �. <br />y�Y�7til. wJl i,.:/I l��. �c-�o.w_ol tia Sel� Ss 7fti e%� s�+oc�. %�Ic. 5�-c�crG���_,i ��/� �c i s76i1c�1 <br />�� r.��s �.:h �� �� .,.�. y7�F�� �.�,1�. <br />PLUMBING MECHANICAL � <br />NO. I TYPE OF FIXTURE OR ITEM NO. I TYPE OF FIXTURE OR ITEM ' <br />Toilel <br />Balhtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />_ Backtlow preventer <br />Urinal <br />_ Drinking Founlain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other — <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas freplace <br />Gas range <br />Clothes dryer <br />Rangehood <br />Exhaust tan <br />Heal pump <br />Ur+il heater <br />Boiler <br />Refrigeration <br />Woods�ove <br />CIN OF EVERETT LOCAL SALES TA% CODE IS 3705 <br />I hereby ceritify ihat I have read and examined ihis applicalion and know lhe same to be irue and correcL All provisions of la�vs and <br />ordinaces goveming this type of work will be complied with whelher specifed herein or not. The granting of a permit does not presume <br />to give aulhority to violate or cancel lhe provision o( any olher state or local law regulaling consiroction or lhe performance of <br />conslruclion. That I am aulhorized hy Ihe owner of this propeAy lo perform ihe work for which application is made and I comply wilh the <br />State Conlraclors Law 18.27'RCW�nd 29620U WAC. <br />��s�'�L � <br />� <br />