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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.everettwa.org <br />-� <br />�_,5�� � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM '"` F�O�. Gc1-(�`, j <br />SITE ADDRE55 PARCEL TA% I.D. # I PERMIT p <br />r— _�, � ,� <br />harcic5o� (�,� 6 °���9 _l 2 <br />LOTN(. BLOCK TRACT <br />yvrncn } <br />( YACC S �SO Li�{��S <br />1Z'�chu��( lotl�e� <br />TENANT NAME <br />Lc <br />Sl�jv. GiuN s Cr/� <br />CONTR. LICENSE JI" <br />USE OF BUILDING <br />WORK DESCRIPTION <br />�2a0 2u�2 00 <br />AlW Saw�rxau�l5fti � � l0 7 <br />CONTACT FOR PERMIT <br />�rti.... <br />ADDRESS <br />Ico2c. S. 34t� �I�C- <br />Su;Fc A-24 <br />I HEATSOURCE <br />_ Eledric _ Gas <br />Olh=r <br />,,,x�,�c.l�, yiSo21 (kLs)SS <br />PHONE <br />�2eC.) (e50— d'8�t1 <br />CITYILP PHONE <br />F-cr�.tf�.� W�y (.zs3) 942-368� <br />�j$003 <br />CONTRACT PRICE OF WORK <br />$ 3�Oc�0 . �� <br />ltn}F-�l� Lht�KK�1 lC�i-�r` �llw.i�tn��K� si�t� — iv bu:��i�..S uwl�. <br />NO. I TYPE OF fIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />KBchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mopletc.) <br />BackAow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air hendling unHs <br />Farced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas ranpe <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit healer <br />Boiler <br />Relrigeration <br />Woodstove <br />� <br />CITY OF EVERETT LOLAL SALES TAX CODE IS J105 <br />I hereby cen6fy that I have read and examined this applicstion end know the same to be true antl corzect. All provisions ol laws and <br />ordinaces goveming Ihis type of work will be wmplied with whelher specified herein or not. The granting of a permit does not presume <br />lo give authority lo violate or cancel the provision of any other stete or 1oc21 law regulating construction or the peAortnance ol <br />construction. That I am authorized by Ihe owner of this property lo perform the work for which application is made and I comply wilh Ihe <br />Stale C�Ira�tors kaw 18.� W end 296200 WAC. <br />tiil- �O(�. i• IS•o!e <br />