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31 <br />� <br />PERMIT APPLICATION <br />GITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-P857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D, p <br />BLpppOCK I TRACT OR SUBDIVISION p <br />DESC.rIS�16��7� �� <br />OWNER ��yl� � C Is/' �epnsen, <br />��� � aefsr �sti <br />TENANTNAME <br />�Id�tieal�K, Nor�itwe5�- <br />wn i nAc wn <br />Gr�Ps�{one <br />CONTR. LICENSE M <br />USE OF BUILDING <br />q�u�-i' Dayl,�tre lo�ices <br />WORK DESCRIPTION <br />Twiani' �w�ro vewe.rf�s <br />NO. I TYPE OF FIXTURE OR ITEM <br />� Toilei <br />Ba1hWb <br />.�f _ L2valory (wash basin) <br />� shower <br />__'� Kitchen sink 8 disposal <br />I Dishwasher <br />L Clothes washcr <br />_ Water heater <br />�� �,'- Sink ��en•icelbadmoU�e <br />_ Backllaw prevenler <br />Urinal <br />' Drinkir.g Fount <br />�_ Floor drai�i <br />— Grease tra <br />Roo( dr3i <br />Other <br />PERMIT A <br />zi�o Wesfevn Ave. Seafile W�q q812� <br />CONTACT FOR PERMIT <br />S��dy Qark� <br />f5'�o BIC <br />PHONE Zb(� '7ZB �'F Z�'S <br />e.eea� Bb.�r,�C V � rlA/obi. <br />fl ve. ,S-h .q �...._.. <br />.Sno%�orr�iS��WA <br />HEATSOURCE <br />_ Electric � Gas _ Other <br />360-862 - 83�6 <br />9ez9� <br />CONTRACT PRICE OF WORK <br />'��ZO�Opa <br />NO. I TYPE OF FIXTURE OR ITEM <br />NC – air handling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clolhes drycr <br />Range hood <br />Exhauslfan <br />Heat pump <br />Unit heater <br />Boiler <br />Re(rigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br />I hereby certdy Ihat I have read and examined this application and know the same to be We and correcL All provisions of laws and <br />ordinance governin this type of work will be complied wilh whether specifed herein or noL The granting of a permit does not presume <br />to give a iority to lat or cancel the provision ol any other state or local law regulating construction or ihe pedormance of <br />constru on. ¢at am Ihorize�' by the owner o( this pmpeAy to pedorm the work for which applicalion is made and 1 comply with the <br />State Q Va�c{rs }v, �A27 RCW and 296200 WAC. <br />U `rz <br />