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SITE ADDRESS <br />LOT NO. <br />DESC. <br />P�RMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425 �57-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� �'ti � PO.RCEL TAX I.D. # PERMIT # <br />� �g �03 Oo d�o oo� ooy eo I COSi� <br />BLOCK TRACT <br />00� C��Ju�t%t /Cri'ir1/. Z <br />�m�,tt bol,n /Uvv� �z��hs�.s,r. k;i,�r�,�Jv� <br />TENANTNAME CONTACTFORPERMIT PHONE <br />t/�4cwn�i Jakc. rn•,{�I�cIJ vz5 �sy SsZd <br />CONTRACTOR EU E� E� 2 r�6 DCL ADDRESS CIN21P PHONE <br />8sa3 ��•�a�r�vrlv� yzs �sy sszt� <br />CONTR. LICENSE #�vC r E�' LO lry L i� G�e `�'� �''� p`� SZo S � <br />i 7/9 �) <br />USE OF BUILDING <br />KQ.'S l �P��� 1 < � <br />HEATSOURCE <br />�v Eleclri <br />WORK DESCRIPTION � /�e �.Do� G 6��f <br />r ----- <br />�rC+� w� ��"., I /�/f I,J P I l,t wlh j n� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilot <br />Balhlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Disliwasher <br />Clolhes washer <br />Water heater <br />Sink (servico/barlmop/etc.) <br />BackOow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease irap <br />Roof drains <br />Olher <br />I CONTRACT PRICE OF WORK <br />Olher � jO�DOO <br />'/Yi�it�idr � m i vl i�"Ylo I 'Iv�-ICriDr <br />� Eleci�icsl� Dvyc..���� �(�ors� Ui <br />NO. I TYPE 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 />Ciothes dryer <br />Range hood <br />Exhaust(an <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined ihis application and hnow lhe same to be true and correct. ,\II provisions oi laws and <br />ordinaces governing this lype ot work will bct complied wilh whelher specified herein or nol. Tho granlin� of a permil �oes not presume <br />lo give authority to violate or cancel the provision of any other slale or local law regulating construction or the p=rformance of <br />construction. fhat t am authorized by the owner of this property to perform the work for which applicalion is made and I comply with the <br />State,L+Qniraclors Law 1827 RGW and 296.200 WAC. <br />) n <br />�. <br />/Z�/�a� <br />' ,�•�LL�GtiIN' �A�V�f /vlN..t�'�" �,� �CK�`iv/ ��1.`✓� <br />F�oo r `��F� <br />� <br />