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� ►..�MIT APPLICAT�..,J <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 />SITE ADDRESS <br />2p�13 jQoc,�.��- Da� <br />LOT NO. � BLOCK <br />PARCEL TAX I.D. # <br />aoq3��b�sooloo <br />TRACT <br />6 - � Z --0-6 <br />6p�o� O(o� <br />DE5�.1 I I <br />OWNER ADDRESS CITY2IP PHONE QZS <br />Go�I�(T"pcv c�¢cf�rc�C— Ir[G iP�I2.ti�Wl7T'�/� �V�P'GC' W.4 3i'1• P�t7 <br />9Srzo f <br />TENANTNAME CON7ACTFOR PERMIT PHONE <br />�tts�v �c�zL-Ei'CT�'� Sc�N{ ptZ� ��— �(-25 35`T 8 �8� <br />CONTRACTOR ADDRESS CITYfZIP PHONE <br />p#�-�t"� W t'1 co � s-�R c�i'ID t-� L 7_0 (�} ? O+k `#- � ��if' �ZS � v 2�52 <br />CONTR. LICENSE # <br />USE OF BUILDING <br />OF�IGE <br />WORK DESCRIPTION <br />HEATSOURCE <br />Electric �Gas Other <br />CONTRACT PRICE OF WORK <br />{�,660 � <br />�-��ISF� -F,a�a��' -� -��D �6�_ <br />�.�,� o� � Q���� -� �_��� �,4�,� �ss��-C' 5��6 <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />�alhlub <br />Lavatory (wash basin) <br />Showcr <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Laundry Uay <br />Sink (service/bar/mop/elc.) <br />6ack(low preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Otl�er <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clalhes dryer <br />Rango hood <br />Exhaust fan <br />Heal pump <br />Unit healer <br />Boiler <br />Re(rigeretion <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify lhat I have read and examined this application and know the same lo be lrue and correct. All provisions of laws and <br />ordinaces goveming lhis lype of work will be complied wilh whelher specilied herein or noL The granling o( a pennil does not presume <br />to give aulhority to violale or cancel Ihe provision of any olher stale or local law regulating consWclion or lhe performance of <br />conslrucl i That�im authorized by lhe owner o( this property lo perform lhe work (or which application is made and I comply wilh lhe <br />State .o r ec. I��lv��8.27RGW and 296."00 WAC. <br />�/� <br />