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�cRMIT APPLICAT{vN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 5— I S'-D� <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />�. `7 I % �� eco � n� li4 �'"L <br />LEGAL LOT NO. BLOCK <br />oesc.� ii r 1(p 633 <br />h� I G �74 G�-T G�-1 <br />TENANTNAME <br />�.il[ ��'CG71GW <br />`�A�li'tC G4CAC-�tS /�"C <br />CONTR. LICENSE 7! <br />�/}e�F6% 03dS✓-� <br />USE OF OUILDING <br />�7.Qc�:,fY6Ls <br />PARCEL TAX I.D. # <br />�y378633oisua <br />TRACT OR SUBDIVISION p <br />��EeEr7' lJtv L <br />t'_c� 3c�,c 7i8 <br />CONTACT FOR PERMIT <br />YO OL5DN <br />PERMIT # <br />FVE2P'? i,�A 93�c6 <br />PHONE <br />qzs �� 4»z <br />E-�dAIL�.Jcso�v PFk <br />Huunwa ..,��,��� ��..�.� <br />27z�, �L�c�ec �t 4Zr 2s9-�3�/ <br />Evc�2E7 4g2c� <br />�• <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />/✓Gn.�' � c- <br />_ Glectric _ Gas _ Olher �' '-' ' �� <br />WORKDESCRIPTION CUNST/L�ci 7(>$ [� �t�'�r1� cSA�C'AE:L-' <br />�`;?(-�1'�C'l_I `�N �=�f]i�/����� <br />PLUMBING <br />NO. I NPE OF FIXTURE OR ITEM <br />Toilet <br />Dathtub <br />I.avalory (�vash basin) <br />Shower <br />Kitchen sink S disposal <br />Dishwasher <br />Clothes washcr <br />Waler healer <br />Sink (service/badmople�c.) <br />Backllow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Greasetrap <br />Roof drains <br />Olher <br />NO. I TYPE OF FIXTURE OR IT[h7 <br />A1C - air handling unils <br />Irorced air syslems <br />Gas pipin� <br />lNater healer <br />Gas (ireplace <br />Gas range <br />Clothes dryer <br />Ran9e hood <br />Exliausl fan <br />Hcatpump <br />Unil healer <br />Boiler <br />Re(rigeration <br />Woodslovo <br />Other <br />CITY OF FVERETT LOCAI SALES TAX CODE IS J705 <br />I hereby cerilify Ihal I have read and examined this applicaliun and know lhe same lo be lrue and correct. All provisions of laws and <br />ordinaces goveming lhis type of work will be complied with whelher specified herein or nol. The granting o( a permit does not presum� <br />lo give authority tu violale or cancel ihe provision o( any olher stale or local law regulating conslruclion or Ihe performance of <br />consiruction. That I am authurized by the owner of Ihis praperty to periorm the v;ork for �vhich application is made and I comply with th�.� <br />S�alr. CaNraclors La�v 1 27 \ nc� 296.200 WAC. <br />���/ ,rS `� �/Z Y�d � <br />