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SITE <br />LOT NO. <br />P�RMIT APPLICATI(�,N <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 8 AM TO 4 PM <br />PARCEL TAX I.D. � <br />�„ 6��r� µ,wl� l��-���11 h�70i <br />BLOCK TRACT OR SUBDIVISION N <br />1(Yi.\��`� 1S ;�( ( )��l �>�� �!�/c�:�IM(X�L / <br />TENANT NAME CON ACT FOR PERMIT <br />kC.r�S �alc�r�., �ed /l�c.rv,r <br />�,. , ,. ,. _. � � <br />�,�it,� I�'<�� UI <br />.LICENSEM I") i , <br />�IN111_(,,;,-.c.�' _� <br />USE OF BUILDING <br />1 <br />��C ti�: VI �r'�C ,�1 <br />WORK DESCRIPTION <br />�� <br />l� (;Ir,r �.�r; �_; icl�,,�: <br />� <br />C�,� Gi�v� ;� (d <br />9—I-o' <br />PERMIT p <br />COnS'r� <br />�i �tf3Zb i ��-L�)Z52-17 <br />PHONE�l�) C��.i�'II.ZS <br />Av, s� �T�E;�,,,��, �4-�K.� �4z��z��- <br />Z��a'�/� � �'��u <br />HEfiT SOURCE CONTRACT PRICE OF WORK <br />Eleclric _ Gas _ Olher `d G� . � �� �„ ��� <br />�• o <br />�,�,,,,�;nt: ����t4�1.1 f'if'W 0�'It.. � �-i2 O� �fc��l'1!<l <br />� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />W ater healer <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />TVPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Ezhaustlan <br />Heat pump <br />Unit heater <br />Boiler <br />Relrigeration <br />Woodstove <br />CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceri�ify ihat I have read and examined Ihis application and know the same to be true and correcL All provisions of laws and <br />ordinaces governing Ihis type of work will be complied wilh whelher speci(ied herein or not. The granting of a permit does nol presume <br />to give aulhority to violate or cancel the provision of any other state or local law regulating consiruction or ihe performance of <br />consiruction. That I am authorized by the owner ot lhis property to perform lhe work lor which application is made and 1 comply wilh the <br />Stale Contractors Law 78.27 RCW and 29G.20D WAC. <br />. � i� <br />� <br />� i� � � �iij,'�'/ , L',-L %-��Jr <br />Sic�naWre ol OwnedCoNraclor/Authorized Agent Date � <br />t2 <br />