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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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITEADDRESS 5517 'i-TH P�A�L 5C pARCELTAXI.D.# ERMITJt <br />�VEkETT; WA qP2oE bOy026��0003oOC� ��5'U�%� <br />LEGA LOTNO. BLOCK TRACTORSUBDIVISIONN <br />DESC. <br />OWNER ADDRESS CITY/ZIP PNONE <br />P{�YLL � s NEU�„ SE17 �rrl PL.acF sF CVtnErr 52s-3`i�- 19�1 <br />TENANTNAME <br />�f,T�To C,a,t� STiel�G�O � <br />CONTR. LICENSE tt n <br />�iN.t�A /�Al/. 1F N7 Z. / � <br />CONTRCTfORPERMIT <br />Tr_�tK y s'�Hirl-I <br />PMONE (LSJI - 9y6- L 6 �6 <br />fsnlif:�C' �:�Sna�rc.l.��� <br />HuuMtJJ � � � � ��� � i�ur r���c <br />ZG zU r u, rtL Q�+�1G ��eJt�- <br />USE OF BUILDING fiEAT SOURCE <br />S I N G L= fAl�'���Y �FS i U61ULF ✓����idc Gas Other <br />CONTRACT PRICE OF WORK <br />���Z <br />WORK DESCRIPTION <br />/�piJir��N �FANEW MASrF� 5��r� ANDFAM��-Y Noo�+� Ur�N <br />:Xls�r'�N� SiNCLi= SrORY 5+�vc�EFifMiLY RCSrPcN��= <br />NO. I TYPE OF FIXTURE OR ITEM <br />� <br />Toi1C1 ' <br />Bathtub � <br />Lavalory (wash basin) 1 ` <br />Showcr \ <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washcr <br />Watcn c�aler <br />Sink (scrvicc/bar/mop/e�c.) <br />Backllow preventar <br />Urinal <br />Drinking Founiain <br />floor drain <br />Grease irap <br />Roof drains <br />Oiher <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />AIC - air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas tireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Echaust lan 1' <br />fieat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodsrove <br />Other <br />CITV OF EVERETT LOCAL SALES TA% CODE IS 3f05 <br />I hereby ceritify that I have read and ezamined this application and know ihe same to be true and corred. All provisions ot laws and <br />ordinaces goveming this type of work will be complied with whether specilied herein or not. The graniing of a permit does not presume <br />lo give authoriry to violate or cancel the provision ot any olher state or local law regulating consiruction or ihe performance of <br />constmction. That I am authorized by wner ol iis property to pedorm ihe work for which application is made and I comply with ihe <br />S�(e contractors Law 18.2 CW nd 2� 6.200 AC�. — <br />- � � - � <br />Signature of Owf(criGOMractonAu� nzed Agenr Date � Z/ <br />/(i <br />( <br />f �'\ <br />C <br />3 <br />