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PcRIVIIT APPLICATII.N <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />/,7/O SE� E{�G/'EjT /�ALC �A% <br />�ESC. <br />PARCEL TAX I.D. # <br />LO7 NO. � BLOCK I TRACT OR SUBDIVISION # <br />,S��AD�AST l�Nr��,c�crA� �RaP�.�lits <br />VON �i'sl�CnAn/q/G Nc'vPD/.'/p�-;�Ci/ <br />30o CA 9ZE6n <br />�/- aU--ia <br />i�loo�'Oo4 <br />PERMIT # <br />��r�'sz-a ioa <br />TENANTNAME CONTACTFORPERMIT PHONE <br />G!/G•cY-iT MAu �'riAi� I J�y�,a/��,n /v%i��'4.n 9Z5)y83-S6S7 <br />CO R T A S CIiYlL1F'- l O,IEu���✓���.n�� <br />`J)✓ANC�=v FiRE F'ROiCCjiOn/ /� O_ lSax i5A3 Wcr��nV� ll r Wa 915� 4�s3 -S�S7 <br />CONTR. LICENSE # 9�a.1 L <br />flvv�7�✓Fi°1796'G , <br />USE OF BUILDING <br />fi�C'�a� / <br />HEATSOURCE <br />_ Eleclric _ Gas _ Olher <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />jns�cz�la ��on oE c �c��,/ ive� �(- c�iy �re ,s�.%��nkle� ,�ys�/�M ��r nl��� i3 <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhlub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Waler heator <br />Sink (service/badmop/elc.) <br />Backflow proventer <br />Urinal <br />Drinking Founlain <br />f loor drain <br />Grease lrap <br />Roof drains <br />Olher <br />NG. � 1YPE OF FIXTURE OR ITEM <br />NC — air handlin� units <br />Forced air systems <br />Gas piping <br />Waler healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Evhaust fan <br />FI, at pump <br />Unil heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />I hereby cerility ihal I have read and examined Ihis applicalion and know tho same lo be true and correct. AU provisions of laws and <br />ordinaces goveming this type o( work will bo complied with whelher specified herein or not. The granting oF a permil does not presume <br />to give authorily to violate or cancel the provision of any other state or Iocai Iaw regulating conslruction or the peKormance of <br />construc;ion. Thal I am authorized by Ihe owner o( this property to peAorm ihe work for which application is made and I comply wilh Ihe <br />Slale Contraclors Law 18.27 RCW and 29G200 WAC. <br />��1 9-O/- <br />��� <br />