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PtRMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9fi201 <br />425-257-8010 - FAX 425-257-8857 - www•everettwa.org / � _ � � `� / l <br />7 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CRE�IT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS (�(/ <br />/,�Z/c/ G/`�FlC��U . <br />LEGA LOT NO. BLOCK <br />OESC. <br />OWNER <br />�-.P/�. s��i <br />TENANTNAME <br />CONTRACTOR <br />��G/1,c��+/ S�-1/�%'A�� <br />CONTR. LICENSE M <br />�i���D .Z.ZO/ <br />U3E OF BUILDING <br />PARCEI TAX I.D. it <br />TRACT <br />CONTACT FOR PERMIT <br />AD�RF55 <br />��eZO ���C /qG� <br />IPERMITX <br />E ���f �, + <br />CITY2IP PHONE <br />E�/ 9'S�O� <br />PHONE <br />CINRIP PHONE <br />� �� � ar� -�ir� <br />HEATSOURCE <br />Electric _'�Gas _ Olher <br />WORK DESCRIPTION <br />�,5;:�« C�-S-�-un.t.9�, O�,tiiGriv/1�. /9�c <br />Gf/�Si�f/2S S45 ���''' <br />NO. I TYPE OF FIXTURE OR ITEM <br />Bathlub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Laundry tray <br />Sink (servicelbarlmopletc.) <br />Backflow prevenlar <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />CONTRACT PRICE OF woKK <br />ti <br />G.33s <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Watar healer <br />Gas f replace <br />Gas range <br />Clothes dryar <br />Range hood <br />[xhaustfon <br />Heat pump <br />Unil heeter <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES 7AX C•�DE IS 3105 <br />I here6y cerilify Ihnl I have read end examined ihis applicalion and know the saine lo be lrue and corred. All provisions of laws and <br />ordineces goveming lhis lype of work will be complied wilh whether specified herein or not. The granting of a permit dces no� presume <br />to give authori�y lo violalo or cancel the provision of any olhur state ot local lew re9ulaling wnslruction or lhe performance of <br />conslrud� i t I am authorized by lhe owner of this proparty to perform the work for which epplication is made and I comply wilh lhe <br />Stati nlract s Luw 18.27 R and 296200 WAC. <br />�% /i / in _,�—nti <br />