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i•ITE AODRESS <br />Z��/Z- ?�� v, <br />LOT NO. <br />S4h J G�i^q <br />TENANTNAME <br />5 i��v•fa��Y <br />P�tRMIT APPLICATIUN <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 />AP�LICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. N <br />TRACT OR SUBUIVISION M <br />7 6/L �j./vr �� <br />CONTRACTORp <br />��/�4�tLIY: �N �✓) '� �f�?/i /�l <br />CONTR. LICEySE # <br />E y��Ati�,y ��izit L <br />USE OF BUILDING <br />��' S <br />WORK DESCRIPTION <br />:�� �� �« 5 <br />NO. I TYPE OF FI%TURE OR ITEM <br />Toilet <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes viasher <br />Water heater <br />Sink (service/badmop/elc 1 <br />BackOow preventer <br />Urinal <br />Drinkinc� Foun�ain <br />Ploor drain <br />Grease trap <br />Roof drains <br />Olhcr <br />CONTAC`TFORPERMIT <br />�,�/� l��p �5 % R�� <br />3G � / ���,-�-�i` � � <br />,��..,7-� 9v"7� I <br />HEATSOURCE <br />_ Electric � Gas _ Other <br />��,,�« p ` � <br />� .- a-�{-o� <br />PERMIT N <br />yas-y3 �'-- <br />PHONE <br />ygti - y 3 8'— �7z 6' <br />�5'z�zs 9-�/�/ <br />ONTRACT PRICE OF WORK <br />3��Z— <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heat.�r <br />Gas fireplace <br />Gas range <br />Clo�hes dryer <br />Range hood <br />Exhaustfan <br />Healpump <br />Unil healer <br />Boiier <br />Re(rigeration <br />Woodslove <br />Olher <br />CITY OF EVERETT LOCAL SALES TN( COOE IS J105 <br />I hereby ceritity thal I have read and examined Ihis application anA know ihe same to be true and correcl. All provisions oi laws and <br />ordinaces c�oveminc� this type ol work will be complied wilh whether specified herein or noL The granling ot a permit does not presume <br />to give authoriry lo violale or cancel lhe provision of any other state or local law regulating consWction or the peAormance of <br />conslruction. Tliat I am aulhorized by tlie owner ol this property to peAorm Iho work for which application is made and I comply with the <br />Stale ConUaclors Law 18.27 RCW and 296.200 WAC. <br />�"/�/, ,�-`l� i_?�'o5" <br />