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— --( - — <br />� <br />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 />?� —/�` _G <br />� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS • PARCEL TAX I.D. iM PERA�IR A <br />�}�'7 �-'Cn,�. r ;� � C. DGyG�i70006 39oQ %�< <� <br />LEGA LOT NO. BLOCK TAACT OR SUBDIVISION N �� <br />DESC. .'�ai 17�at�oe v�ew A����4�aH -ru �v�cr��c{-�� <br />�RidC SK�,.1r.�f.L �S ��_�`•' �"�'��'t �3C.dD �V��'4'f, I.i�i?. <br />TENANT NAME <br />�c: � ( :��%,� �IoL <br />C�OJN�T/R CTOR ` <br />(� / i . :0,1 C�C1/�7 �������r� <br />CONTR.LICENSEN I!`f��rr�, IpYf�� <br />�r � , � <br />USE OF <br />i��s�T��� i�-t��,� <br />WORK DESCRIPTION ` �� 5`�/?�• < ,(- <br />� /� ., l�J ��� ��; ....J _ <br />NO. I TVPE OF FlXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />CloRies washer <br />Water heater <br />Sink (servico/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />_ Drinking Fountain <br />Floor drain <br />Grease trap <br />_ Roof drains <br />Other _____ <br />CONTACT FOR PERMIT <br />��!; �t-`!FReUS. <br />f'. 4.� �?' 3 3� <br />HEATSOURCE <br />Eleclric i� Gas <br />Clher <br />GoIA �'t <br />/? Y�z .Su�J 2w�"� <br />�JtiNE/d7��� 5uN2v�M <br />Cv2s'� ?s�-�3�9 <br />�(y7S 3 �• <br />_KYPR�oSw�d�ra��aa� <br />CONTRAC7 PRICE OF WORK <br />� 16,00n. U� <br />d �,� tl �` — <br />NO. I TYPE OF FlXTURE OR ITEF�I <br />A;C - air handling units <br />Forced air syste�ns <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />fieal Dump <br />Unit heater <br />Boiler <br />Relrigera�ion <br />Woo�islove <br />Olher_ <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />I hereby centily ihal I have read and ezamined this application and know Ihe same to be true and correct. All provisions of laws and <br />ordinaces goveming Ihis type of work will be complied wilh whether specified herein or not. The granling ef a permit dces not presume <br />Ito give au�hority to viola�e or cancel Ihe provi�ion ot any other state or local law regulating consiruction or ihe performance of <br />consiruc�ion. That I am authorized by the owner ot ihis property to pertorm ihe work br which applicati�n is made and I comply with Ihe <br />i State Coniractof1rfs Law� 0�.27 RCW and 296200 WAC. � <br />_��,U.I l'"�a,i��'�'� 2//// 1 �'�1% <br />^� <br />� <br />