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P�:RMIT APPLICATIvN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org ' 1�;l.� � 0 i0 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS PARCEL TAX I.D. # PERMIT � <br />33;z3 �o��-��.�c�2 Db�-134o't�i3 o(a o� o� o� -Q <br />LEGAL LOTNO. BLOCK TRACT <br />DESC. � Z �q 3 �v��tC uawo �o S i"(�dc� g�K � 4 3 <br />S.} � (��2T��k.2� ��C <br />TENANTNAME <br />(�la c.i C� <br />CONTRACTOR <br />CONTR. LICENSE # � � � <br />USE OF BUILDING <br />tJ �R <br />WORK DESCRIPTION <br />� �I�n���Tlo Iti <br />� <br />ADORE55 CITY2IP PHONE �Zs�7�y <br />P����oX12983 M��G2,�4f:�q�o82 <br />CONTACT FOR PERMIT PHONE <br />M�Ku�. T"000 �125-'rSy'8�8o <br />ADDRE5S CITY2IP PHONE <br />HEATSOURCE <br />_ EleclricN�as _ <br />Other <br />c.^-� �kS�d�C�.,c�. T� (WFkk� G-1Ry <br />NO. I TYPE OF FIXTURE OR ITEM <br />�I _ Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />_ Kitchen sink 8 disposal <br />� Dish�vasher <br />i Clothes washer <br />�, Laundry tray <br />Sink (service/barlmopletc.) <br />Backflow oreventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />CONTRACT PRICE OF WORK <br />�► r� <br />�v(Z g U�v 1� <br />MtGFiANII:AL <br />Np, I TYPE OF FIXTURE OR ITEh1 <br />A!C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Cbthes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit healer <br />Boiler <br />Refrigeration <br />Waodstove <br />CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and kno�v the same to be Irue and correct. All provisions of laws and <br />crCinaces goveming this rype of work �vill be complied with whet!�er specified herain or noL The granting of a permit does not presume <br />to grve �uthonry to violate or cancel the provision of any other state or local taw regulating construction or the performance of <br />construction. That I a rized by the owner of this property lo eertorm the �vorh for which application is made and I comply �vith the <br />State Contractors La 18.27 LV �a }296.2001NAC. <br />n,, . �'(..�l�i 1-Z3-�6 <br />� <br />