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PERMIT APPLICATIUN- <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everetlwa.org , , - - --_ ' <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM (� �vb -(JU <br />sire nooRess Z514 Tay lov Dr <br />�cvctf�, WA `f`6ao3 _ <br />LOT NO. BLOCK <br />�,�;5oh , Chad $ Cryi' <br />TENANTNAME <br />N � /} <br />�NTRACT R <br />CA£ How�cS � LLC <br />CONI'R. LICENSE # <br />USE OF BUILDING <br />5 F Q �()e�t d <br />WORK DESCRIPTION <br />I PARCEL TAX I.D. # <br />I Dv�f�7 00o z o o to 0 0 <br />TRACT OR SUBDIVISION # <br />I�o �f Dnrl�natoYl� Vo1• � <br />�oc� zN° S+ �,rwl�hd, wA qg� 3 <br />CONTACTFORP[RMIT <br />C.rair� �shle.wtav� <br />l¢ol0 2"° S�- <br />PHONE <br />,�.ys 24� -151 <br />E-MAIL C�4� <br />%�y3 •2Yz 3 <br />Mothi so M e <br />airiur rnunc npTmw�i•�� <br />K;rwland �25 '�i3• 2'iL?j <br />wA, 9��33 <br />HEATSOURCE <br />_ Electric _ Gas _ Other <br />.D�vy�o l�-}-ivh o-F �,�,r ru1+ e.x is{; � re s�d,�vtc.�.. <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />BathWb <br />Lavatory p�ash basin) <br />Shower <br />Kilchen ,ink 8 disp�sal <br />Dishwasher <br />Clulhus washer <br />Waler heatcr <br />Sink (scrvicelbar/mop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinking Founfain <br />Flaor drain <br />Grease trap <br />Rnof drains <br />Other <br />CONTRACT PRICE OF WORK <br />NG. I TYPE OF FIXTURE OR ITEM <br />AIC — air handlin� units <br />Forced air syslems <br />Gas pipiny <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Fanye hood <br />Exhaustfan <br />Heat pump <br />Unit healer <br />Boiler <br />Relrigeralion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />I hereby ceritify that I have read and examined thls , pplicalion and know ihe same to be true and correcL All provisions of laws and <br />ordinaces �overning Ihis rype of work will be complied �rilh whelher specified herein or nol. The granling ol a permit does nol presume <br />lo c�ive aulhorll�to violate or cancel Ihe provision o( any other stale or local law reyula�ing cons�ruction or the periormance o( <br />constructio Yt1at I am authurized by lhe o�vner ol this proper+y to perform Ihe worh for which application is made and I comply �vith Ihe <br />Sta!e C r�c rs L;� 827 RCW and 296.200 VJAC. ��' � O v <br />��� 0 <br />Signa ure ol OwnedContraclodAulhorized Agr.N Date <br />