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PERMIT APPLICATIOf� <br />CITY OF EVERETT PERIIAIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-5310 - FAX 425-257-8857 -- www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM �'- II `-�� <br />PARCEL TAX I.D. p <br />ERMR N <br />� _ i % -Ci/ - <br />�,�,E y� s- <br />PMONE j/�j7 - �,7,�j - �J � <br />e�a� v,�ww.11eu,rr.�o,�C�'at/•� <br />crc KE�� <br />. �n...._. t{�i��li. 1.�.'.. �� ..,-...o...�„ /��.`i. J.i��:,..,.. �.. .,� 4c-.Oi 3 �JJr�`'n�� �-' <br />TENANTNAME <br />,�J[.L�c.�-f �. <br />cumnac�un � <br />� (a:� �C ��^ �c��,cic�%�'C� X .7 �e <br />CONTR. LICENSE Ji . <br />USE OF BUILDING <br />-��711 L J �' <br />F✓ <br />/�23��?>/w `7'% CVc'.rtF� <br />�ld� �. �'i � i�G, ���ac� <br />'S��t .3 - b'��O <br />HEAT SOURCE CONTHACT PRICE OF WORK <br />✓Electric_Gas_Other "��,�7�(1i-1',� <br />WORKDESCRIPTION �C��f �,� /O'X 3O�LriC IOc�('�- Or G10��7t �D c�4t%C<rZ�' <br />'.�, r� /1 /.,� ,� �. /��� <br />C(�74'Li�cl £C�:'�:c_ � �{'I���fC��� /JCGY/t('(�i�lt T �JstCl.:ifP�^.�.Ciyil KCOL��. � j� G� 7�./ l�vV . <br />�7 <br />NO. I TYPE OF FlXTURE OR ITEM <br />J_ Toilel <br />Balhlub <br />_/ Lavatory (wash basin) <br />_/_ Shower <br />J_ Kilchen sink 8 disposal <br />J_ �ishwashcr <br />_ Clolhes washer <br />waler heater <br />Sink (scrvice/barfmop/elc.) <br />Backllow preventer <br />Urinal <br />Drinkinc� Fountain <br />Floor drain <br />_ Grease trap <br />__ _ Rool dr�ias 1 , <br />O�her �r.�..� 1,✓_�. <br />TYPE OF Fl)CTURE OH ITEMI <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas lireplace <br />Gasrange <br />Clolhes dryer <br />Range hood <br />Exhaus�tan <br />Heal pump <br />Unit hea��r <br />Boiler <br />Relrigeralion <br />Woodstove <br />Other <br />CITV OF EVERE7T LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilily Ihat I have read and examined Ihis application and know the same ro be true and correct. All provisions of laws and <br />ordinaces governing Uiis typo ol work wlll bo complied with whether specdied herein or not. The granling of a permit does not presume <br />to give aulhoriry to violale or cancel the provision of any olher state or local law regulating conshuction or the performance ol <br />wnslruction. That I am authorized by the owner ol this property to perlorm the work for which applicalion is made and I comply wilh ihe <br />State Contracrors Law 78.27 RCW and 296.200 WAC. ' <br />II <br />2 <br />