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SITE ADDRESS <br />�_5�� JJHv�z�sp� <br />LEGAL LOT NO. <br />DESC. '� } � 1 <br />1-ERM1T APPLICATIVN <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 />i-1JF <br />BLOCK <br />J � I �> <br />PARCEL TAX I.D. It <br />�, c 5 I t�S ��? i�, <br />TRACT <br />1�. � 1 1 f�J/ Ll, l_ Y) N 0 <br />/..IS�/ii <br />PERMIT � <br />�i /�i- Z(Q <br />iONE��).�_7.:7-e�9 2 <br />—�i2AC � �-!-iF'rTr.l �>�<iinais��o�` 1�6'F_ L'Vi;:i2rrr �.'l.:ol <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />�1 1 r„ 1-� n �_ f� E u `-( � 5.') �! I� -..'� b 7 9 <br />CONTRACTOR <br />�LI. C I..i n� i.�T-i �i Tc. �� n r.. <br />CONTR. LICENSE # <br />ia��.e�c��9���-�� <br />USE OF BUILDING <br />C i= 1.� [: ;� l..(, Nc r' <br />ADDRESS <br />I��'��� n� !••%�l. C 1 <br />fIEAT SOURCE <br />CITY2IP <br />/��_Drn � N I7 <br />'1 'L o S z <br />� Electric _ Gas _ Olher <br />WORK` DESCRIPTION C <br />�\�_���.—{�nl.l. itil-c�Ltti�ctt��_ �\ii1.b1.��...\.i:M1� )a_(....�7 <br />NO. I TYPE OF FI.KTURE UR ITEM <br />� <br />� <br />Toilet <br />BalhWb <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 6 disposal <br />Dishwashe� <br />Clothes wasl��r <br />Waler healer <br />Sink (serviceNa �Pletc.) <br />Backflow preven. . <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Olher <br />PHONE <br />'1�� •)yI�-�0'17 <br />CONTFtACT PRICE OF WORK <br />.`S�. �{ D D O <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Wa!er heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />� Heat pump <br />Unit healer <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby ceriti(y thal I have read and examined this application and know the same lo be lrue and correct A�I erovisions ot laws and <br />ordinaces �oveming lhis tyue of work will be complied wilh whelher specified herein or not. Tho granting o( a permil does nol presume <br />lo give auihorily to vio�ate or cancel the provisiun o( any other slale or local law regulating construction or the peAormance of <br />conslruction. Thal I am authorized by Ihe owner of this property to periorm the work (or which appiication is made and I comply wilh lhe <br />State Contraclors Law 18.27 RCW and 29G.200 WAC. <br />�.��.c-,,,.,_ _% :�J(t- /-��-IO <br />