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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 />� <br />�� �,! �lJ� -� y� p��_ APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />� b ia "a�wrr'f A�� <br />LOT NO. I b$ 3 <br />=,n f: 31 <br />PARCEL TAX I.D. # <br />Oo (0 4�19 G, 8 ?�[ <br />TRACT OR SUBDIVISION X <br />CV�2� <br />PE�iMf �I <br />� �r7-JD� <br />OWNER ADOR CITY2IP PHOHE 4,Z5 <br />�` v. aox 22zY� SEnrrr.� wa 98�2z ��� <br />i��'Tc-2 i-� � ti��Enl J SiCo�/ 1�2� l-4cw�� !-` �c ��eR-�T7' 98�.a1 .ia�a <br />TENANT NAME A��-�ut : I CONTACTf �FOR PERMIT PHONE �0(„ $S�'j �g IO <br />S�W A`� / WISE ��i/ G..ti 2 �A2� T41E�.5 E.�,A�� b�,raph�lps ��4 hoo. c <br />��� <br />CONTR. LICENSE p �—��� <br />USE OF BUILDING <br />U�'Ftct � �2�; <br />WORK DESCRIPTION <br />HEAT SOURCE <br />Electric _ Gas _ Other <br />CONTRACT PRICE OF WORK <br />Ma-rEN� ' ,E a7$�`4. <br />�ci�leJ� EX5�7i.Jfv �XT�RAo2wcr� STcPS t,v /1�2 oF ,aw�O;nJV <br />A.vO 2��3w�D w�'T� �R�s��l4:. TltP.�"t[f� Lu�+a(jE2. <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />W ater heater <br />Sink (scrvicc/bar/moplelc.) <br />BackOow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Olher __ <br />NO. I TYPE OF FIXTURE OR ITEM <br />!vC - air handling unils <br />Forced air systems <br />Gas piping <br />W 3ter healer <br />Gas (ireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhausl fan <br />Heat pump <br />Unil heater <br />Boiler <br />Re(rigeralion <br />Woodslove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby ceritify ihat I have read and examined Ihis application and know the same to be Irue and correcl All provisions of laws and <br />ordinaces governinc� this �ype of work will be complied �r�lh whelher specilied herein or nol. The granling ot a permit does nol presume <br />to give aulhorily lo violale or cancel the provision of any oilier slate or local law regulating construction or the performance of <br />conslruction. 1"hat I am aulhorized by Ihe owner of this property lo perfomi the work for which application is made and I comply with Ihe <br />Slale ConVactors Law�18,27 RCW and 29G200 WAC. <br />I • / /'�C/(X1� <br />� � ���' Slk(v� <br />---�-�-"s._ , - - <br />