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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />1�4►0 - �c� �ic� D� <br />LEGA LOT NO. BLOCK <br />oesc. U L D <br />OWNER <br />��UGL i��P.l��b11 Y1 �i/Y �.P� � i% <br />TE T NAME <br />CONTRACTOR <br />SGi�cedoDev��l�p���+ � Ci:v�� <br />CONTR. LICENSE if <br />Sl1��DC�i�kSPg <br />USE OF BUILDING I <br />WORK DESCRIPTION <br />� c• �� 1 c+ ce <br />s ovl-� S �� `� �� �`I <br />NO. I TYPE OF FIXTURE OR ITEM <br />? Toilet <br />y Bathlub <br />�L Lavalory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Waler healer <br />Sink (servicelbar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Rooi drains <br />Olher <br />PARCEL TAX I.D. # <br />�c�i�-�oso� <br />iRACT OR SUBDIVISION N <br />CONTACk FOR PERMR <br />C��i av� Sc+lud� <br />ADDRESS <br />�} �S vo��t l v�1� I <br />�,t> l�% 12 G �t c�l <br />CITY2IP <br />�vlu�► i+�w <br />c� gZ�S <br />HEATSOURCE <br />x Electric _ Gas _ Other <br />G� � I l� G� Vlil l l'1 � 1 V1,Q S <br />NO. I <br />D � D �" d�l <br />PERMIT X <br />(- �6S -� S <br />PMONE <br />2fl�?21 �38�Dz <br />PHONE <br />Nzs3is3o�'�- <br />PHONE <br />� 2S3 �s 3a I"�- <br />CONTRACT PRICE OF WORK <br />I y� L,Lvll-� � . <br />TYPE OF FIXTURE OR ITEM <br />AIC — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhauslfan <br />Heat pump <br />Unit heater <br />Boiter <br />Refrigerallon <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />i hereby ceritify that I have read and examined this application and know the same to be true and cortect. All provisions of laws and <br />ordinaces governing this type ot work will be complied wilh whether specified herein or not. The granting of a pertnit does nol presume <br />to give aulhority to eiolale or cancel lhe provision of any olher slate or local law regulaGng construcGon or the perfortnance of <br />construction. That I am aulhorized by the owner o( this property to pertortn the work for which applicaUon is made and I comply wilh the <br />State Contractors @w 18.27 RCW and 296.200 WAC. <br />1_, /Y' r�� /r'� GY, nsl i� lD a- <br />