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� — - -- <br />PEP,�tT APPLICATIO�V <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STR�ET. EVER'_T7. WA 98201 <br />�, 425-257-E810 - FAX 4'��-257-8857 - www everettwa org <br />i APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />I SITE ADDRESS 1 J PARCEL TAX I.D. # <br />l��Z V�r�in�a, rf'�`� �ZD/I GDy34s4��5��3�a�> <br />i rrn� 1 oT NO� OLOCK TiiACT <br />� ���i� <br />TENANTNAME <br />i��` �1 <br />i�(/� V'�r��✓�l0. "" _ <br />ICONTACT FOR PERMIT <br />�J I � i, il. <br />CONTRACTOR �;� ` �%- <br />�(�liSN//��i- ) t,tiT{ <br />{i(�'tC fc. �.'-'� <br />CONTR. LICENSE p ^ <br />i . , . . . � _._! iC �. i . <br />USE OF BUILOING <br />WOR DESCRIPTION � //� <br />�,�.����_ � r <br />,......,�,� .-. . � <br />ADDNESS '/��ppn2 <br />/iJD�J <br />HEAT SOURCE <br />PERMIT # <br />_ 7 <br />��A-t�"�" �l4 z o � -t1 Z' 2 �� � <br />PNONE <br />1��._ ��.��� V�J'� <br />��,� L qTYILP PHONE � L `� — <br />i <br />� ,,!��.�k'.ir,� �) 5 ')"•js� �� <br />.. � .v� [ <�• <br />� <br />_ Ele^.tnc _ Gas _ Other <br />7�'"0 !'t'r� <br />Np, I 7VPE OF FIXTURE OR ITFM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposa� <br />�ishwasher <br />Clolhes washer <br />Laundry tray <br />Sink (service/badmopletc.) <br />BackAow preventer <br />U'inal <br />Dnnking Fountain <br />Floor drain <br />Grease Uap <br />Roof drains <br />otner <br />CONTRACT PRICE OF WORK <br />��� S� <br />NO. I TYPE OF FI%TURE OR ITEM <br />AIC - art handling unds <br />Porced au system>, <br />Gas piping <br />� Waler heater <br />�as (ueplac, <br />Gasrange <br />Clothes drye� <br />Range hood <br />Exhaustlan <br />Heat pump <br />Unit heater <br />Boder <br />Retngerahon <br />Woodstove <br />CITV OF EVERETT LOCAL SALES TA% C�DE IS 3705 <br />II <br />I hereby cenliry that I have read and examined this application and know Ihe same to be Irue and correcl. All provisions of laws and I <br />erdmaces goveming Ihis rype of work will be compGed with whether spe:ified herein ur nol The grantmg of a permd does nol presume <br />io arve aulhority to viola�e or cancel the provision of any other slale or local law regulating construdion or the performance of <br />conslmction. That I am authorized by ihe owner of this property to per�orm the work lor which application is made and I wmply wdh the <br />State Coniradors Law 18.27 RCW and 296200 WAC. <br />`r,�� �,�J,�-�n�,(,4% i.i� ` .�7 � D % � <br />Signature Of Owner/ContractorlAuthonzed Agenl ��e <br />li <br />� <br />