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F�RMIT APPLICATI�,N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 – FAX 425-257-8857 – www.everettwa.org <br />SITE ADDRESS <br />? G �.,.� <br />LOT NO. <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />PARCEL TN( I.U. # <br />1 <br />TRACT OR SUBDIVISION # <br />DESC.r I I <br />OWNER ADDI <br />'� � f � � � ' <br />���,��� .� �%,�, o�f��� <br />TENANTNAME I CON' <br />�, �� � <br />TRACT R/ 1�fi/` N�iL . GL'vf �' I Ca-.{i/'K�✓ <br />CONTR. LICENSE p <br />_�f �,��2Tni� � 9�> k `i <br />USE OF BUILDING <br />IC.�'s��c���;�,1 G4!'�y� — <br />fACT FOR PERMIT <br />� /L.✓Y✓IMG l <br />t c <br />B�� � 1121 /1iwySv; <br />HEATSOURCE <br />Electric _ Gas _ Other <br />PHONE (�Z)!' 3�, � �5",!� <br />E_rna� i �v�A�v�s�r��� <br />,'i✓y 7$� �� �� tid 5' 3� 7 755, <br />CONTRACT PRICE OF WORK <br />-��-- i34_U, <br />WORK DESCRIPTION � � <br />(Lcpl<,�� %��'sa,'.,�j Gr��J�' r,v��ti �, �e� S%��5/ G�.� (x.��,�c� <br />c� S��,c, %�!' G�l.l��r 5;�;. <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Dalhlub <br />Lavarory (wash basin) <br />Shower <br />Kilchen sink 3 disposal <br />Dishwasher <br />Clothes washer <br />W ater heater <br />Sink (serviceNar/mop/elcJ <br />Back(low preventer <br />Urinal <br />Drinking Pomitain <br />Floor drain <br />Grease lrap <br />Roo( drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handliny unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unit heater <br />Boiler <br />Re(rigeration <br />Woodslove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined lhis applicalion and know the same to be true and correcL All provisicns ot laws and <br />ordinaces c�oveminc� this lype of worh will be complied wilh whether speci(ied herein or not. The granling of a permit does not presume <br />to give authority to violale or cancel the Urovision o( any other state or local law re�ulaling consWction or the per(ormance o( <br />construction.�Thaf�l am authorized by �{�e owner o( this property lo perform lhe work for which applicalion is made and I comply with Ihe <br />Slale Contr Ictor$.law 1827 RCW ar�d 296.200 WAC. �/�/� � ^ <br />�V � <br />