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, — -- <br />P�RMIT APPLICATIC;�� <br />CITY OF EVERETT PERMIT SERVIt;ES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE AGCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />LEGAL� LOTNO. <br />DESC. �� . � � � <br />PA CCL TAX I.D. # <br />U �% 3 2 <br />BLOCK TRACT <br />�-i 2 <br /># <br />V �� I�Cl� �- �/A <br />I�GJC� PRoP��sL�-� 402� tb'('r�� �F-an' �1 �-�� <br />g�n�� l 'I�i� I �°�� <br />TENANT NAME CONTACT FOR P RMIT PHONE <br />(t-C��J �A'Tl-�F'Gl�l� AW.,A-F.� 20fo ro 2`� 'S210 <br />CONTRACTOR ADDRESS CITYIZIP PFION��� 3�n <br />13�iP,� 1�A1��`'� 1��ll�i M� � S{7�� �,��t11$ � <br />CONTR.LICENSE# L�,�'� 2(� %toOl i�J�' '�7�?i <br />2�\0.11TT af-q�/lif_2 <br />USE OF BUILDING �d�Y�p�LAq� Gµn►� U <br />?� - �u� ���� <br />HEATSOURCE <br />_ Eleclric ,�Gas _ Other <br />WORK DESCRIPTION � ���� `0� '��(/LfJT \ MP(1t7V�G(�n.�T <br />OF�L� V,-'P.l.[iGi � Z TDli.f�� F�N•Gj -P�It'% �ii�cP� <br />YLUMCIIVCi <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />� Lavalory (wash basin) <br />hower <br />� chen sink 8 disposal <br />1 Di nvasher <br />Clot es washer <br />Laun Iray <br />Sink (s rvice/ � dmop/e1cJ <br />Grease trap <br />Roof drains <br />Olher __ _ <br />CONTRACT PRICE OF WORK <br />�R— L���GN�R—'j' <br />d��iD�t I • "= <br />GOb�i�ij�l/�C� <br />NO. I TYPE OF FI%TURE OR ITEM <br />� <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />�nge hood <br />Ex ust fan <br />Unit heater <br />Boiler �� <br />Reirigeration <br />Woodstove <br />Other_ _ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />II hereby ceritify Ihal I have read and examined this applicalion and kno�v the same lo be true and correcl All provisions of la�vs and <br />� ordinaces goveming this type of work will be complied �vith �vhether specified herein or nol The c�ranling of a pennit does not presume <br />�I to give authurily to violate or cancel ihe provision of any other state or local law regulating wnstruclion or the performance of <br />j conslruclion. That I am aulhorized by the owner ol lhis property lo periorm the work for which application is made and � comply with Ihe <br />I SWIc Coiitrac���v 18Z7 RCW and 29G200 WAC. <br />I 1 L .. / i. _ o..--� .� <br />�lz <br />