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P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STREET, EVERETT, WA 98201 <br /> 425-257•8810- FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> SITE ADDRESS PARCEL TAJ(I.D.It P RMIT N <br /> IZvS i2uc�Fz �+l� CX.�4 �42z7o13o0 07 -(,�Z <br /> LEGA LOTJdO. BLOCK TRACT � <br /> DESC. +'? E � q- yy 7 Cku�'-C.H � LA �'bNeES S�^�PL s�.K- az� '�-o�. <br /> OWNER ADDRESS CITY2IP PMONE <br /> ST�V� Ei-�SN Nu�Z�A� i2o5 Puc�e Av'`i °tf3Zo� � cr� zo�o•2�G• 9ob8 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> SAME AS UYVu�Z ST�V6= c�� �-�Sc� 1-1upZiAC Wr.� 2ub� 526•691f <br /> Hn�tA25•25%� dS'bb <br /> CONTRACTOR ENN�i.VC� CGIdS7U��ru� ADDRESS CITY2IP PHONE <br /> N�,�,-rH D�N a �� c-� zN�. <br /> CONTR.LICENSE N <br /> pENNiLi946D� 4z5• 23Z• 3943 <br /> I1SE OF BUILDING — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> ��5 1 D E�T� A� Electric �Gas_Olher 5,5 u c�o . <br /> �� <br /> i <br /> WORK DESCRIPTION 93771• <br /> ADD U�J AbD�T1UNAL �-� V�NG S7h.<- T� �K�S'i�NG Muw.t, Nfw <br /> I L✓NS'r2.w�T�OrJ Ti�b �tir� U�D. �•lE�..J wowS , �z���= ,r-�ov�s � RNI� FJ•.r.�0�71UN <br /> � ���Qr � TtJ /�[k:`�l^��OATr ��IN hD�.�.'Tiu�.l. �LEL'T�2i�A� S�`�'PANtZ Iw1`>T'�a�.7�. <br /> PLUMBING MECHANICAL <br /> NO. TY�'E OF FIXTURE OR IT[M NO. TYPE OF FIXTURE OR ITEM <br /> Toilel PJC-air handling units <br /> Balhtub � Forced air systems <br /> , L= Lavalory(wash basin) Gas p!p��y <br /> �' Showe� Z Waterhea�er <br /> I Kitchen sink&disposal Gas firepiace <br /> � Dishwasher � Gas range <br /> Clothes washer Clolhes dryer <br /> Water healei �- Range hood <br /> Sink(service/bar/mop/elc.) /� '� Exhaust fan <br /> Back(low preventer _ Heal pump <br /> Urinal Unil heater <br /> Urinkir�� ruunlain _ Boiler <br /> Floor drain Refrigeralion <br /> Grease trap Woodstove <br /> Roof drains Olher <br /> Other <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby centi(y that I h2ve raad and examined thls application and know�he same to be true and correcL All provisions ot laws and <br /> ordinaces goveming this lype o(work will be complied wilh whelher specified herein or noL The granting ot a pemiit does nol presume <br /> lo give aulhoriry to violale or cancel Ihe provis?on of any olher stale or local law regulating construction or ihe performance oi <br /> construclion.That I am aulh rized by ihe owner of lhis property to perform Ihe work for which application is made and I comply wilh lhe <br /> e Cu tte�t6r L 8.2 PC d 2 ,200 WAC. <br /> � - ! 7 U7 <br /> ''�ignaWra wnedConlractodA rized Agenl Da �� <br /> L <br />