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A... <br />\ <br />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 />APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �._� -�'j _� <br />SITE ADDRESS PARCEL TAX I.D. # <br />/ S/D SE �'✓�e� �"� r,��1i ,2 fro5/s�a o�oi/o 0 <br />LEGA LOTNO. BLOCK TRACTORSUBDIVISIONN <br />DESC. �/� � � <br />��tOF�1SI �f'35�3 ✓sw.e4.v,.�6✓ -... _.. ..._.._ <br />�✓E2�/rY¢GLiLtG ,�.�.ro,erd�rGrc.9 9zuo 9�`y-Srsz-o�oo <br />TENANT NAME CONTACT FOR PERM PHONE 9�/p _�z _ O)OO <br />� /�/b , iT/i'NFf P.4LCLq e.ua� �Pw�i�..esf'�ir�fia,a., <br />r c�c� <br />CONTR. LICENSE # �1 ; �'e �/ �C% <br />� <br />USE OF BUILDING <br />� <br />.�' -r'�� 1/CAv� c� GCce � ec_ I� <br />J� �-,. ,,,,, <br />HEATSOURCE <br />_ Electric J� Gas _ Other <br />WORK DESCRIPTION <br />%ZE�`^ovc �y�.rTi"rG /iT�Hifc.i Pit�e,�li`'7'i AN.o GeWsTRU%! <br />2�r`��� f3vi�0�^'� s�2viNG dP T� TN/tE�' %.�n/'.1N!'r <br />S7�✓GLt�ST+Aj' /j�/i�,p/.✓G W/%/� S�F9cE PiF2K/^r6. <br />NO. I TYPE OF FI%TURE OR ITEM <br />Toilel <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Oishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/etcJ <br />Backllow preventer <br />FouMain <br />Rooli <br />Other <br />NO. <br />CONTRACT PRICE OF WORK <br />/ F> � <br />.9 6 ODD s.{` � <br />ir wi�G 8� �9- <br />TVPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas lireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhausifan <br />Heat pump <br />Unit heater <br />CITY OF EVEFiETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilily Ihat I have read and examined this application and know the same to be true and correcL All provisions of laws and <br />ordinaces goveming �his �ype of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to yive authoriry to violate or cancel thc provision ol any other state or local law reguiating construction or the pedormance o( <br />con;lruction. That I am aulhorized by ihe owner of �his property to pedorm ihe work for which application is made and I comply with Ihe <br />Statr, Conlractors Law 1827 RCW and 296.200 WAC. <br />1/Z <br />