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SITE ADDRESS <br />25'L2 �� u <br />LEGAL LOT NO. <br />P�RMIT APPL.ICATI(�N <br />CITY OF EVERETT PEkMIT SERVICES <br />3200 �ECAR STREET, EVERETT, WA 98201 <br />425-257-88? 0- FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��J// ��/� <br />PARCEL-T7�j I.D. q/n PERMIT # <br />�N� a L�J�' _�3/l3.5�/OZ/� FUlpo8--col <br />BLOCK TRACT <br />M h�z-ru� F'�C-A <br />TENANTNAME <br />CONTRACTOR <br />S1d Co�+S,—�Lu�TI o,.l <br />CONTR. LICENSE # <br />USE OF BUILDING <br />dJ� t� C. LE Fai�,��-( ech�rh-a�,r <br />z-S`2-2 �IQC,�f��r� �+JC- <br />CONTACT FOR PERMIT <br />-���'1 Me' F+OJ�ary.1D <br />ADDRESS <br />Il-to�-1 ��Y Izv'� WA`j <br />HEATSOURCE <br />Electric Gas Othcr <br />WORK DESCRIPTION <br />�fGn�s-twvcr �i2r T�hr->hc.c-b 1-1or�l� <br />Np, I TYPE OF FIXTURE OR ITEM <br />1 Toilel <br />Balhlub <br />� Lavalory (wash basin) <br />_�_ Shower <br />_L Kilchen sink & disposal <br />1_ Dishwasher <br />�_ Clolhes washer <br />�_ Waler heater <br />Sink (serviceNadmop/etc.) <br />_ Backflow prevenler <br />Urinal <br />_ Drinking Fountain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Olher <br />��� � �l a20I <br />PHONE <br />QZCi-c�3'�10-2U��j <br />CITY2IP PHONE '�j��_D79 <br />P1UIL1�7[i� "l62�5 Q2'S-� <br />PRICE OF WORK <br />I�.B �12s.v0 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling unils <br />Forced air systems <br />Gas pipinc� <br />Watar heater <br />Gas fireplacc <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhauslfan <br />Heat pump <br />Unit heater <br />Boiler <br />Retrigeration <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TNC CODE IS J705 <br />�� <br />I hareby ceri�i(y thal I have read and examined this applicatirn and know ihe same to be true and coirecl All provisions of laws and <br />ordinaces goveming lhis type of work wiil be complied wilh whelher specified herein or noL The graMing o( a permil does not presume <br />to givo aulhority �o violale or cancel lhe provision of any other slale or local law regulaling construction or ihe perfortnance of <br />canstruction. Thal I am authorized by tlie owner of ihis properly to periorm the work for which applica�ion is made and I compiy wilh the <br />Slate Contraclors Law 1�27 RCW and 29G.200 WAC. <br />