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9��-,��`/l��'v�l <br />P�RMIT APPLICATILN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.ors <br />ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS l� PARCEL TAX I.D. # <br />`a3oa 35�5���s�-� oo yyseoo 700 �oo <br />LEGAL� LOTNO. <br />�ESC. � <br />HARCk (3Ro 5. <br />TENANTNAME <br />BLOCK TRACT <br />OU 7 LAuRE� I+E xc�µTS <br />39aa s�+�A�E. N,E E�t <br />CONTRACTOR <br />I•�f�AC�F C3RO$• COI�S-1', <br />CONTR. LICENSE # <br />USE OF BUILDING <br />S F€ <br />WORK DESCRIPTION <br />ICONiACT FOR PERMIT <br />�oE� H��C.�C <br />� <br />d S 4ZS 3q�-7360 <br />PHONE <br />yZ�-d`+o•aya9 <br />ADDRESS CITY2IP <br />3qaa ��+b Av� �,E EvE�c-t-r <br />9eaos <br />HEATSOURCE <br />_ Eleclric _ Gas _ Other <br />D�MO, <br />NO. I TYPE OF FIXTURE OR ITEM <br />TOIICf <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinking Founlain <br />F�oor drain <br />Grease trap <br />Roof drains <br />Olhcr <br />PHONE <br />y2S 3q�- 7 360 <br />CONTRACT PRICE OF WORK <br />SK <br />NO. � TYr: OF FIXTURL OR ITEM <br />NC — air handling units <br />Forced air systems <br />Cas piping <br />Water heater <br />Gas fireplace <br />, Gas ranc�e <br />Clolhes dryer <br />Range hood <br />Exhaust fan <br />Heal pump <br />Unit hcater <br />Boiler <br />Refrigeration <br />Woodslove <br />Other <br />CIN OF EVERETf LOCAL SALES TAX CODE IS ?105 <br />I hereby cerilify lhat I have read and examined lhis applicalion and know lhe same to bo true and correct. All provisions of laws and <br />ordinaces governing this rype o( work will be complied with whether specified herein or noL The granling of a permit does not presume <br />lo c�ive authonty to violale or cancel ihe provision of any other state or local law regulaling construction or lhe performance of <br />conslruclion. That I am authorized @y the owner of this property to periorm lhe work for which applicalion is made and I comply with the <br />Slale Conlra�tprs Law 18.27 FCW �inJ296.200 WAC. <br />� 3o-as <br />