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PtRMIT APPLICATI�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 4?.5-257-8857 — www.everettwa.org <br />SITE ADDRESS <br />C�7 � e � <br />LEGAL LOT NO. <br />DESC. <br />OW NER <br />T1rl YLl �. L,L���.-e.��� <br />TENANT N I: <br />ctr er � <br />CONTR. LICENSE # � n �� <br />G/ i <br />USE OF BUILDING <br />' l� r2 ►v �t r�� <br />WORK DE$ IPTION I N <br />RDD��I, <br />APPLICATIONS ARE ACCEPI'EU FROM 8 AM TO 4 PM <br />BLOCK <br />TAX I.D. # <br />TRnCT OR SUBDIVISION �Y <br />ro7,�x>I <br />i <br />�(-?.�, 1.1�L'"-� ��GE{i W/�. ��� ) <br />CTFO:tPERMIT PHONE f.�2�j-'3��'j- p'ZQ3 <br />2�AZ Roc(c�F� f �cr <br />HEAT SOURCE <br />ZC Electric _ .;as _ Other <br />CONTRACT PRICE OF WORK <br />ALL W/�LLS -TO FD�M i�'-6" X 23'-D" <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposai <br />Dishwasher <br />Clothes washer <br />W ater heater <br />Sink (service/bar/mop/elc.) <br />BackOow preventer <br />Urinal <br />Drinkin9 Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Wator heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhausttan <br />Heal pump <br />Unit heater <br />CITY OF EVERETT LOCAL SALES/fA% CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know tne same to be trua and correct. All provisions oi laws and <br />ordinaces governing lhis lype of work will be complied wilh whelher specified herein or not. The granting of a permil does not presume <br />lo give aulhority violale or cancel Ihe provision of any olher slate or local law regulaling conslrucUon or the performance of <br />conslruc}ion. Th t I am authorized by lhe owner of lhis property to perform the work tor which applicalion is made and I comply wilh the <br />Statn C%fitract SLzvt18.27 RCW and 296.200 WAC. <br />�� <br />