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SITE ADDRESS <br />�, � <br />LOT NO. <br />DESC. <br />a :RMIT APPLICATI�. N <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 <br />BLOCK <br />b�v►� N�uTz�� �s� <br />TENANT NAME I <br />PARCEL TAX I.D. !� <br />OOd�nS�10b 0� <br />TRACT OR SUBDIVISION �M <br />mM� N��GHfs o� � <br />ADDRESS <br />Zo V�l, ►Yklk��Tra B)�iD <br />CONTACT FOR PERMIT <br />CRIS C�c't1c��k�ni <br />wninncivn P <br />G�LIE'PSOnI C'Onn'f� �nIC, I�IOY'I�"1ST• <br />CONTR. LICENSE k <br />C;EI..�ccToq�lmE <br />USE OF BUILDING <br />S►�c��r' Frtm��.y R�rtt:alcc <br />OL <br />7w �cvT Sr N <br />CI�_ <br />Ev�ft Y�'?o� <br />PHONE <br />�fi, q8w3 <br />HEATSOURCE <br />_ Eleciric � Gas _ Other <br />P RMIT # <br />�/Ool� � Di <br />� ��9b <br />PHONE <br />�zs- 339- Iszo <br />yzs- 3qd � zyn.� <br />Pofi'Yu.G� ��'lW � fn n1 <br />Nzs-3yb•2Vos <br />CONTRACT PRICE OF WORK <br />8�, 000. `�' <br />WORK DESCRIPTION �}�(T�pr, (�� I O�S i� Tv 6x�sT�af� NomE • yzs �1 pecK <br />oNf 5-�oRY <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/barlmop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. <br />� <br />TYPE OF FIXTURE OR ITEM <br />A/C —air handling uni�s <br />Forced air syslems <br />Gas piping <br />Water heater � I0.�� ^� <br />Gas fireplace /�1 <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unil heater <br />Boiler <br />Refrigeration <br />Woodstove J,. _ I- <br />Other �uA�'�n^.� <br />NEr'i RJAIS� <br />CITY OF EVERETT LOCAL SALES TAX CODE �S J705 <br />I hereby certify ihat I have read and examined this application and know lhe same lo be true and correct. Ail provisions of laws and <br />ordinances governing this type of work will be complied with whether specified herein or not. The granting oi a permit does not presume <br />lo give aulhori�y to violale or cancel the provision of any other state or local law regulating conslruction or the performance of <br />conslruction. That I am aulhorized by lhe owner of this propeAy to perform the work forwhich application is made and I comply with ihe <br />State Contractors Law 18.27 RCW and 296.200 WAC. <br />b� ��- (O <br />� <br />L <br />