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SITE ADDRESS <br />GPZO Ri <br />LEGAL LOTNO. <br />�ESC <br />OWNER <br />�� <br />� <br />TENANTNAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR 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 />Avr'_ <br />BLOCK <br />I CONTRACTOR <br />1_�[71dC-'i �o6�-ii.117� <br />I CONTR. LICENSE A _ . _ _ !, , <br />USE OF BUILDING <br />WORK DESCRIPTION <br />�� �Zoc� <br />PLUMBING <br />Np, I TYPE OF FI%TURE OR ITEM <br />� <br />� <br />Toilet <br />Ba1hWb <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Launtlry tray <br />Sink (servicelbarlmopletc ) <br />BacY.flow preventer <br />Unnal <br />Drinking Fountain <br />Floor drein <br />Grease trap <br />Roof drams <br />Other <br />PARCEL TAX I.D. # <br />1�l'J nFi4 <br />TRACT <br />LONTACT FOR PERMIT <br />�R i l�a f'(13�3n��- i <br />S - �3--�% <br />PERMIT p <br />`3o"1c4' -Ci� <br />PHONE �Fj' �Z' S �'1 1 <br />:►�-� qa � � «.. <br />PHONE <br />ADDRES� CITV2IP PHONE <br />a�8c� �3� Av�, rvE, Rad.rY,o�rd. q$o5� <br />)��)` )lvl� Il���%�'� 42�`'gla8• lola93 ' <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />� Electric _ Gas _ Other � � -� � � . (� � <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas fueplace <br />_ Gas range <br />Clothes dryer <br />Range hood <br />Eahaustfan <br />Heat pump <br />Unit healer <br />Bo�ler <br />Refrigeralion <br />Woodstove <br />CITY OF EVERErT LOCAL SALES TAX CODE IS 3105 <br />I hereby centity that I have read and examined this appiication and know the same to be true and correct All prov�sions of laws and <br />ordinaces governing this rype of work will be complied with whether specified nerein or not The granting of a pertnit does noi presume <br />lo grve authordy to violate or cancel the prowsion of any other state or local law regulating construchon or the performance of <br />construction That I am authorizetl by Ihe owner of this property to perform ihe work for which application is made and I comply wdh the <br />Stale Contractors Law 1827 RCW antl 296200 WAC. <br />�f1�1�✓�J /i,,�r'-., ��.,� .')� �._� � <br />