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PtRMIT APPLICATIGN <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 (� �� (r C;'1 - 2 <br />SITE ADDRESS <br />`193�, O«<.� Av� <br />LEGAL LOTNO. BLOCK <br />DESC. C� p � � <br />Ca�� �T��-L�c <br />TENANTNAME <br />CONTRACTOR <br />�AfK ilvcn.c <br />CONTR. LICENSE # <br />PR�K AA 8 <br />USE OF BUILDING <br />5��,., i� <br />I3.,1 I d vs, L� [. <br />o p S" <br />�.� <br />PARCEL TAX I.D. # <br />0o s7i7oolot <br />TRACT <br />S�o� e Ac�. s �DD <br />CONTACT FOR PERMIT <br />PERMIT tF <br />Z C' l�vc� -�. <br />rnvnc //�s- <br />'7 <br />9d z7 3 y9 - ; <br />PHONE <br />� �r,.nk T. ��r��n� --�6-769-00� � <br />ADDRES CITY2IP PHONE <br />/z2zi v:i ..�e C�1r, PI. �k Z^S M„k� I�� y2S-3y9-9SSo <br />9SL7S <br />HEATSOURCE <br />_ Electric � Gas _ Other <br />WORK DESCRIPTION <br />C � AS`{Y� c i- /� G W S f/� �t � / <br />� ,,,��� <br />NO. I TYPE OF FIXTURE OR ITEM <br />�? Toilet I i � <br />Z BathWb�i <br />� Lavalory (H�ash basin) 7 ; }�. <br />�_ Shower, <br />� Kitchen sink 8 disposal i <br />I Dish�vasherp <br />_� Clolhes washer i <br />_j_ Waler heater i <br />�_ Sink (service/badmop/etc.) � <br />Backtlow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease Irap <br />Raof drains <br />Olher <br />3�a <br />CONTRACT PRICE OF WORK <br />300, o0 0 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />I Forced air systems I <br />� Gas piping <br />� Waterheater <br />_� Gas fireplace I � <br />� Gasranget <br />I Clothes dryer i <br />� Range hood 1 <br />� Exhausl fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Olher <br />� <br />CITY OF EV�RFTT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify ihat I have read and examined this applicalion and know the same to be true and correct. All provisions of laws and <br />ordinaces goveining lhis type of werk �vill be complied wilh whether specified herein or not. The granling of a permit does not presume <br />lo give authority to violale or cancel the provision of any other stale or local law regulating conslruction or ihe periormance of <br />conslruction. That I am aulhorized by thr, owner of this property to perform the work for which application is made and I comp�y with the <br />State traclors Law 18.27 RCW and 296.200 WAC. <br />� � �1�� l�t <br />o-� <br />