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P��RMIT APPLICATI(.�� <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 - DEBI7' & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />7��)n5 r�1 r U�!'� i�-!= fivC, <br />LOT NO. <br />.� <br />L. <br />PARCEL TAX I.D. # <br />� 00 - 39 �'7 - �0� � <br />TRACT <br />�U�,u� VISTfl HD� <br />�- <br />NORTN Iy0 FE <br />...,.�,. ,.......�..� ..,,,,..,. �...,,.� (yZSJ S13 <br />;Ic�1�11 G. �-�' 1.11%'��h` L. +IUAI( %qOc Mt170�GC A�. E�c�n, ulA.�1'SZA3 ?_25,3 <br />TENANTNAME CONTACTFOR PERMIT PHONE <br />�,�• �r; v, .t r iat aic �. N��.ir TO�+�J �. �v� (Hz5) 327 � Soo5 lc�� <br />CON'2ACTOR <br />CONTR. LICENSE # <br />USE OF BUILDING <br />ADDRESS <br />HEATSOURCE <br />_ [leclric _ Gas _ Other <br />CITY2IP PHONE <br />CONTRACT PRICE OF WORK <br />WORKDESCRIPTION ��. �?�: ��-��.` yS� f��O�F CR/jl�� 3�e�� �IL��Gs� � STfiI�S <br />NO. I TYPE OF FIXTURE OR IiEM <br />Toilel <br />�athlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Laundry lray <br />Sink (service/bar/mop/elc.) <br />Backtlow preventer <br />Urinal <br />Drinkinc� Fountain <br />F�oor drain <br />Grease trap <br />Roo( drains <br />Olher <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas pipin� <br />water heater <br />Gas fireplace <br />Gas range <br />Cbthes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiier <br />Re(rigeration <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br />I hereby ceriti(y lhal I have read and examined this application and know lhe same to be frue and correcl. �II provisions of laws and <br />ordinaces governing lhis type of work will be complied wilh whether specifieJ herein or not. The granting of a permit does nol presume <br />to give aulhority to violate or cancel tho provision of any other state or iocal law regulaling conslruclion or the performance of <br />construction. That I am authorized by lh owner of this property to periorm the work (or which application is made and I comply with lhe <br />State ConkactpisLaw�&.271RCW anN�96.200 WAC. <br />; �z5-o5 <br />`�� <br />