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PrRMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org cj �� b- os <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS� �"��"� <br />C2� Foc.�cu.�-e.��2,t' �/R• <br />LEGAL LOTNO. BLOCK <br />SlhO:�l ON'��SLI <br />TRACT <br />PARCEL TAX I.D. # <br />t o 5���� �r � <br />PERMIT # <br />ESO'.l���j <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />Snohorn�61� Ccr.�n}� S.�e.�� �,rown 2oc�-�� �- 8� & 1 <br />CONTRACTOR ADDRE:�S CITY/ZIP PHONE <br />M•!�. /b(or�ertSox (sv�.Qa. —Li I�e.S,q Yl �ir -�'PI`"t^�l� J <br />CONTR. LICENSE # �'� � J <br />USE OF BUILDING <br />Adinnini5��'0.�tVG � � fi c�,o. <br />HEATSOURCE <br />Electric Gas Olher <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />��I,,;,w.b�n.cj �-;X{-wes � 3 sr���Y—�— ta;t � i_i. i ��� � <br />� Se,� "� el �� � <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Bathlub <br />Lavatory (wash basin) <br />Showcr <br />Kilchen sink & disposal <br />Dishwashcr <br />Clolhes washer <br />Laundry lray <br />Sink (service/badmap/elc.) <br />Back(low prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />A/C - air handlinc� unils <br />Forced air syslems <br />Gas piping <br />Waler heater <br />Gas (ireplace <br />Gas- range <br />Clolhes dryer <br />Range hood <br />Exhaust (an <br />Heat pump <br />Unit heater <br />Boiler <br />Re(ric�eration <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify Ihat I have read and examined this applicalion and know the same to be true and correcL All �;rovisions ot laws and <br />ordinaces governinc� this rypc of work will be complied with whelher specilied herein or noL The granling of a permit does not presume <br />to give authonty to violate or cancel Ihe provision of any olher slale or local law reoulating consWction or lhe performance of <br />conslruclion. That I am authorized by Ihe owner o( lhis property to pertorm the woiK (or which application is made and I comply with the <br />Slalc ConVaclors Law 18.27 RCW and 29�200 WAC. <br />