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SITE ADDRESS <br />�I�15 I'l(.�:lf�.. �2[\ N I <br />LEGAL LOT NO. <br />DESC. Q.i .�tF...6,�.1 <br />- �._ � . <br />OWNER <br />�Ccl�ni.l �o�i-�� <br />FcRMIT APPLICATIUN <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />PARCEL TAX I.D. # <br />'.�y �)-G�� IZC �� 2o�L CC. <br />TRACT <br />i��s ��W s�.��,�t...,s�� �z<< .��« �o-� i <br />S �'�1..0(0 <br />N <br />w�., �5'�il 4ZSS�S'1 • l "71'� <br />TENANTNAME I CONTACTFORPERMIT PHONE <br />I-Fti�a�i I.i�j�nc�c�� �C•�� 2C`C,: C�S�•1b'��1 <br />CONTRACTOR Si�jAS �1�n��ti ��.�t�, r�Z�E3S �* � CITY2IP 'PHOa63'�i42'3(eS'Y <br />i4�� ��. F-�l�,alLL.y >>o�. <br />CONTR.UCENSE# 5`'`�,{ N-�-4 <br />SI(,CNLtC ULy5.2 <br />USE OF BUILDI\G <br />HEAT SOURCE <br />_ Electric _ Gas _ Other <br />WORK DESCRIPTION <br />a �.�z.�l ct��,���i�� lcN�, aUti�.'��.��<.l s',5�... ��.-�-� ���.�1. <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (serviceNadmop/elc.) <br />6ack(low prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />CONTRACT PRICE OF WORK <br />4' 3�OJ,�, � <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas rango <br />Clolhes dryer <br />Range hood <br />Exhaust tan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriti(y thal I have read and examined this application and know the same to be lrue and correct. All provisions of laws and <br />ordinaces governing this type of work will be complied with whelher specified herein or not The granling of a pennil does not presume <br />to give authoriry lo violale or cancel the provision of any olher slale or Iocal law regulaling conslruction or the performance of <br />construction. Thal I am aulhorized by the owner o( this property to periorm lhe work for which application is made and I comply wilh lhe <br />Stale C,�o�treclors Lyw 18.27 RCW and 29fi.200 WAC. <br />X; ,:'�,�� � � r. � %{��<<<_, �12z /c G� <br />