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P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS PARCEL TAX I.D. # PERMIT # <br />Z3��1 aK�A»�HA A��= b�a�3_Sovooiyod G�o -/ <br />LEGAL LOT N0. BLOCK TRACT OR �SU(BDIVISIO1N # f� <br />DESC. �� IZ.� .7r, �a�ri�i5 �%iv � -Ur�cJct L��c�_ �'�Y <br />SU(3I� t=��c�p�;, <br />TENANT NAME <br />NA <br />�� �� �� <br />CONTR. LICENSE N <br />USE OF BUILDING <br />� � <br />P.ES•,t�� �� �� a <br />L�-C. <br />i��-$3� �r��� <br />CONTACT FOR PERMIT <br />�.,� -rylP� <br />HEAT SOURCE <br />_ Eleclric ✓ Gas _ Other <br />WORK DESCRIPTION <br />G��i,.�-�„�j- 5:,�r �e 1=��.,: y IZ�,�de�.C�. <br />N0. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />o.�uu�� <br />Lavalory (wash basin) � <br />Showcr <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes wash�r <br />Walcr healer <br />Sink (service/badmop/etc.) <br />6ack(low preveNer <br />Urinal <br />Drinkin� Founlain <br />Roor drain <br />Grease trap <br />Roo( drains <br />Other ___ _. <br />E�u'pl�l. 9$Z.oS z�,-55 <br />PHONE Z�-lC$D..pZ3y <br />E-MAIL Nt h�p� �� �19�� `� <br />CONTRACT PRICE OF WORK <br />`�/%�, pDD ,n� <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handlinc� unils <br />Forced air systems <br />Gas piping <br />Walen c�aler <br />Gas (ireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unit heatcr <br />Boiler i <br />Refrigeralion v <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify Ihat I have read and examined lhis application and know the same to be true and correcL All provisions ot laws and <br />ordinaces goveminc� this lype of �vork will be complied with whelher speci(ied herein or noL The granling of a permil does nol presume <br />lo i���. � authunty lo violate ur c2ncel the pro�ision of any other stale or local law rec�ulating construclion or ihe peAormance ot <br />coi� ��clion. Thal I am aulhorized by the o�vner of this property to perform the work for which application is made and I comply with the <br />Slale Cop�lractors Law 18.27 R and 29G.200 WAC. <br />�rJ.�lt�-�.t �_-�__. r1.,E�,,� -� �l�yl�•? <br />'/z <br />