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SITE ADDNESS <br />LOT NO. <br />DESC. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — wv�vd.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. q <br />�J'GD c� O�c <br />BLOCK TRACT OR SU801VISION N <br />//-/� /v <br />=RMIT # <br />�i1 �� Cf/is�� �/G��/ 51' %��' G:�G�. � y-zs �fy �,z 3� <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />E-MAIL <br />. _____ — _.r���o <br />- J'r: 7�, �-. ,µ' <br />CONTR.LICENSEC `�;7L/Z�'�ZGC�T7� <br />J r'J ✓ <br />USE OF BUILDING <br />�C.��-!/: v <br />S1tiG�-E <br />�=raMiw <br />2ej S i v.°. � <br />� �,3��.0 3 9 ��/3"� X ,, <br />/irJ��S✓i« c y�27/ <br />HEATSOURCE <br />[�_ Eledric _ Gas __ Olher <br />WORK DESCRIPTION���/ l� � ,��G��-�L _ <br />/ <br />C.�NSfRU�-r Nc:w 14� � 2�' Wcvv Drx.r_ <br />/:£li.Ac:: /»STs ��N„ c::�R"iS C.av.li <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />E3aihtub <br />l ava�ory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Waier healer <br />Sink (service/badmop/etc.) <br />�ackllow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Greasc trap <br />Roof drains <br />O�her <br />�,71" 7���3s <br />CONTRACT PRICE OF WORK <br />��pO`� <br />�.l�l�d�A.ti�S a.....d (�CJ� <br />S <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling unils <br />� Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />[xhaust fan <br />Healpump <br />I!;iil healer <br />Ooiler <br />Re(rigeration <br />Woeastove <br />Othei <br />CIN OP EVERETT LOCAL SALES TA% CODE IS 3105 <br />I hereby certify �hat I have read and ex2mined this application and know lhe same �o be irue and correcl. All provisions of laws and <br />ordinances governing ihis type of work will be complied wilh whether specified hemin or not. The granling of a permit does not Fresume <br />�o give aulhority to violale or cancel Ihe provision of any other sla�e or local law regulaling construction or the pertormance ot <br />conslruction. That I am authorized by t wner of this property to periorm Ihe work for which applicahon is made and I comply wilh the <br />Slale-Gontrocjors Law 1827 d 296200 WAC. <br />� / .�- �_. �� ����= <br />rSigpat re o( OwnedConlractor/Aulhorized Agent Dele II <br />Z <br />