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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.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />y�oo s y,::.�v,� <br />LEGAL LOT NO. <br />BLOCK I TRACT <br />PARCEL TAX I.D. M <br />PEFjMIT # <br />NkiAs��.q .✓An/cr_ ('.9c{c�,C yG-cv .s. y���Au� f'✓t,ctrr 9Bzo3 (aoc,jy,Y-a9sS <br />TENANT NAME � CONTACT FOR PERMIT PHONE <br />CONTRACTORLc¢�c•y l(cvn�: /mM.��'�+qu.iT ADDRESS �93SG Nt CITY2IP <br />(,tiWN iin.t /2P. 2FU�» c.�O <br />CONTR. LICENSE p �EGA �l��I �J� y �� 2 `%fC' ; �' <br />USE OF BUILDING <br />��'F-5i O "r-"n! 77,q [. <br />HEATSOURCE <br />_ Electric _ Gas <br />•f-/y-- 7C•G3 <br />CONTRACT PRICE OF WORK <br />Otner i� J'�� S�C �. �`f��' P�v•, rnn <br />WORKDESCRIPTION r��D�N4 � v�y�,�y�r�z �iD 'TIlr 'V�'RT����iO�= U� Nnn�F. <br />NO. � TVPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & di,posal <br />Dishwasher <br />Clothes washer <br />Laundry Iray <br />Sink (service/bar/mop/etc.) <br />Backllow pr�venler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greaee trap <br />Roof drains <br />Other <br />I:G71 <br />MtGNAWGAL <br />TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas lireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustlan <br />Heat pump <br />Unit heater <br />Boiier <br />Relrigeration <br />Woodslove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE 151105 <br />I hereby ceritify that I have read and ezamined this applicalion and know Ihe same to be true and correct All provisions of laws and <br />ordinaces governin� lhis type of work wiil be complied with whelher specified herein or noL The granting of a permit does not presums <br />to yive authoriry to violate or cancel ihe provision of any other slate or local law regulating consWction or the perlurmance ol <br />construction. That I am authorized by ihe owner ol this property to perform the work for which application is made and I comply with the <br />Sl�te CoNradors Law 1827 RCW and 296.200 WAC. <br />l.i'ii.. ��,._�,.� .�-����-U_S <br />