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PERMIT 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 <br />j(C!�/,,' APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />'+SC��`� ��=o:rEr¢.�Le.t %iJc <br />LEGA_ LOTNO. BLOCK <br />S,.srl��vr�t�..� `o.lF-r� �' <br />TCNANTNAME I <br />�uviit+M,:ri �Da✓t% <br />CONTRACTOR <br />L�J � i � �'..-'r ritii. ��,.H, h�/ <br />CONTR. LICENSE N <br />��t� c,-L � u�i1�A <br />USE OF BUILDING <br />CTVv�C1��"'�z/�t <br />WORK DESCR!PTION <br />9N., ,��� <br />PARCEL TAX I.D. # <br />TRACT <br />iDv �Zv�Kr,F�L�L'Z <br />CONTACT FOR PERMIT <br />•- 7 <br />L ��id r�,ti,ti�2 <br />ADDRESS <br />y�, o�x' [ 1 Z Uc> <br />HEATSOURCE <br />Electnc _ Gas _ Other <br />���� l,"�•�+':.: �L I��+�r <br />; r-�;, <br />�'� �/".' ' /; . _ /' �. � 1� <br />N0. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kdchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (servicelbadmop/etc ) <br />6ackllow preventer <br />Urinal <br />Dnnking Fountain <br />Floor dram <br />Greasetrap <br />Roof drains <br />Other <br />/�1�--06 <br />PERMIT # <br />M ���, � -�,j z <br />L-�c�c�� �,2 co <br />PHONE <br />l'�Zs>i��S �"150i, <br />CITYIZIP � PHONcEa��j l <br />I��K'Y/NV�LL✓ 1L�U�IZ <br />_ (AZS��4.S �5Uc� <br />I C�TRACT PRICE OF WORK <br />!/ Z `jv <br />F'r"^� Cu,t�F.lriC �t�.,.� <br />/.� ; <br />� � �� .t��' i / : - -� i ,�� ��� <br />MECHANICAL J��1 <br />N0. i TYPE OF FIXTURE OR ITEM /`i��^f�( <br />� <br />A�C - air handling unds <br />Fo�ced air systems <br />Gas p;ping <br />vVater heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heatpump <br />Unit heater <br />Botler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby ceritdy that I have read and exam�ned thls appl�cation and kno�v the same to be true and correct. All proviswns of laws and <br />ordinaces governmg this type of work will be comp6ed wnh whether specif�ed herein or not The grenting of a permit does not presume <br />to give authonry to wolate or wncel the provision of any othei state or local law regulating construchon or the peAormance of <br />� construchon. That 1 am aulhonzed by lhe owner of this property to perform ihe work for which apphwUon is made and I compl� with the <br />I Stale Cont�eetorsLaw 18 27 RCW an .296 <br />' c �L��i� �� r�-o� <br />� -- - - - � - <br />