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��RMIT APPLICATIGN <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS +� <br />�:.� p.; so - S�, s� <br />LOT NO. <br />I/� <br />D.,�: o �, il-� <br />TENANTNAME <br />N/° <br />CONTR. LICENSE fF <br />USE OF CiUILDING <br />Cn,l�`A 'e Gia."u <br />WORK DESCRIPTION <br />BLOCK <br />uW � JO <br />pARCEL TAX I.D. # <br />I pp���Q�0U0/19U0 <br />TRACT OR SUBDIVISION # , /� <br />-d6 C. (a�c.tir�'f r�e� 5 <br />rtH �✓���✓�ih � �U'� SU t4it S� <br />ICONTACT FOR PERMIT <br />�n ✓,'c� L r ��-e y <br />�?.,.�. , <br />HEAT SOURCE <br />✓ Electric ✓ Gas _ ��he� <br />cva.ey 7F-2o3 <br />PHONE <br />CAr�` K.�o� ou�2 G�z�� <br />�IIUU ��� �/2 Q47�-1i LA�ND`Q.`f �� <br />9 92 <br />NO. I TYPE OF FIXTURE OR ITEM <br />�_ <br />� <br />Toilel <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Water healer <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />1�6 -31-v7 <br />P MITn# <br />L, � <br />�HONE <br />:-/ZS' 339 s3y9 <br />�Izs-Z31-71/f <br />c�e I� II ty C�nul,ce.•.. <br />CONTRACT PRICE OF WORK <br />!✓lTN �l) 3/y i�.G-/H <br />� �X�'GS� 1�c�M. <br />�+ !OX �l�l <br />NO. I TYPE OF FIXTURE OR ITEM <br />I A/C — air handling unils <br />� Forced air syslems <br />Gas piping <br />� Waler heater <br />Gas freplace <br />Gasrange <br />� Clolhes dryer <br />Range hood <br />2 Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Olher _ <br />C!TV OF EVERET'f LOCAI. SALES TAX CODE IS 3105 <br />I hereby ceritify tlial I have read and examir�ed lhis applicalion and know lhe same to be true and correct. All provisions of laws and <br />ordinaces goveminc� this rype of work v,ill be complied wilh whether specified herein or not. The grenling of a permit does not presume <br />to give aulhority lo violate or cancel fne provision of any other slate or local law regulaling constru' clalion shmade and I comply wilh lhe <br />conslruction. Thal I am authorizeti by lhe owner of this property lo perform the work for which app' <br />State Contractors Law 18.27 RCW and 296.200 WAC. <br />�'—� ' (% -/ � i G -i G -%C <br />,�-.�,. ��t��� .. � <br />