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P�RMIT APPLICATIOnI <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />42�-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />LOT NO. <br />OWNER �`oya� �,,;;,�n��..i ANO V�ObY— ��%�OF <br />�Foct,a� �jULF CaCI� �OVRL C�RoVQ �N� <br />TENANTNAME <br />�oyqL, u/INOOW Atip Do��S �'4�N� fy <br />c�+crr.� C��ueQN� caur-K�cr�,v� <br />CONTR. UCENSE p <br />USE OF BUILDING <br />PARCEL TAX I.D. # <br />:� L�O�JUZc�O� D/ � � <br />TRACT OR SUBDIVISION p <br />�SEC AFIJ#t �'i$O� <br />,SADDRESS C <br />r� s Pr-f�MFr�� �rNrE� i>i <br />SrE 4� b q� <br />CONTACT FOR PERMIT <br />Arvo�,=w CHRTr_� <br />a s i 9 ccGvE[Ji u �►1 v� <br />l4�8��0 <br />T--. <br />HEAT SOURCE <br />_ Eleclric _ Gas _ Other <br />WORKDESCRIPTION W� w�� �� �NSTJ4CL/�l'G � I'�� <br />S u� sil=� Te ��-i tV R pp � Tl O�/ i4� Li 6!-1 r <br />� x��srti►VC� �L�� , n�C�zz/� N I N r �✓ i �� (3C <br />N0. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dish�vashcr <br />Clolhes washcr <br />Water heater <br />Sink (service/bar/mop/etc.) <br />BackOow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Other <br />NO, <br />'� � <br />C.7 <br />4Ls 3�l 3 7147 <br />i riur rn�ne � �,y , � , �� <br />EvFCEtT wA. 4?rzyf� ���3- <br />CONTRACT PRICE OF WORK <br />39j� �00,00 <br />.- F� B�1�a�0 �v1�'z <br />STo�AG�f /NsIDE <br />sP�iti�z�0. <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas pipinc� <br />Waten c�ater <br />Gas (ireplace <br />Gas ronc�e <br />CloUies dryer <br />Ranc�e hood <br />Exhaust fan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify Ihal I have read and examined ihis applicalion and know ihe same lo be lrue and correct. All provisions of laws and <br />ordinaces �overning this type of work will be complied �vilh whelher specified herein or not. The granling of a permit does not presume <br />lo give auUiority to violato or cancel the provision of any olher stale or Iocal law rec,.lating construclion or the periormance of <br />conslruction. That I am authorized by Ihe owner o( this property lo perform lho work for which application is made and I comply with Ihe <br />Slale Conl2ctors La�r�8.27 RCW and 29f 200 WAC. <br />/ ;I � . 1 <br />