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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 />SITE ADDRESS <br />l(vO I <br />L_EGA LOT NO. <br />TENANTNAME <br />Sc...,< �s G�ciie <br />CONTRACTOR X��c^ Scn/�r�s <br />� C� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />G� <br />JItJ [ . <br />CONTR.LICENSEk 5El�1vs5�y3od <br />USE OF BUILDING <br />SN!aj�C OCi.� <br />� IQr��c�cn��) � <br />PARCEL 1'AX I.D. p <br />TRACT <br />��nl/� r'�C�1/Ilt^ ^'✓� <br />ICONTACT FO1R' PERMIT <br />�4.11� I IGhGr`, <br />ADDRESS <br />5�.2'� `/u�-'t fdvr. U%. <br />su, f� �o,. <br />HEAT SOURCE <br />,_Electric _Gas%Other <br />PERMIT # <br />rn (�OS [n(o <br />9�sol `/��- 3iy- r�vS <br />CITYIZIP <br />�N �G � I �PO <br />�t �a-r� <br />PHONE <br />v�s� �sY- s � o � <br />PHONE <br />`/,� J - ,� fC)- /� SC) <br />CONTRACT PRICE OF WORK <br />WORKDESCRIPTION ' J �.� ��PM'�r ���! �-�FI�iP W•�l� /;(u� <br />�rmo✓t o �c <br />NO. I TYPE OF FI%TURE OR ITEM <br />Toilel <br />Balhtub <br />Lavalury (wash basin) <br />Shower <br />Ki'chen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />W ater heater <br />Sink (servicelbarlmopletc.) <br />Backflow prevenler <br />llrinal <br />Drinking Founlain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — air handling units <br />Forced air systams <br />Gas pipinq <br />�_ Waler heater <br />Gas fireplace <br />Gas range <br />Cbthes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unit heater <br />Boiler <br />Refriperalion <br />Woodslove <br />Other <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3705 <br />I hereby ceriti(y lhat I have read and examined this application and k�ow lhe same lo be true and correcl. All provisions of laws and <br />ordinaces governing this type of work wili be complied with whether specified herein or nol. The granting oi a permil doos not presume <br />to give authority lo violate or cancel Ihe provision of any other slate or Iocal law regulating constNl c1alion shmade a dal comf I with lhe <br />construction. Thal I am aulhorized by the owner oi lhis property to pertorm lhe work for which app' P Y <br />Stale Cunlractors La i8.27 C�V and 296.200 WAC. <br />� // .,� �/� G�/3d�� <br />