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P�RMIT APPLICATI�nI <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 PARCEL TAX I.D. # PE <br />SoZNc� l��- SuJ �D r1 n0" DU7 UU ' <br />LEGAL LOT NO. BLOCH TRACT OR SUBDIVISION R <br />oesc. � '7 _ ��, a 1..- �.q/'�c 1.3 � K 00 2 �0 - <br />T/N'I yi <br />TENANTNAME <br />�oY �ATSoN <br />CONTR. LICENSE p <br />USE OF BUILDING <br />p <br />027 <br />ADDRESS � " CITYIZIP rnunt ,/� S j 5 S- <br />7 <br />9 S.zNd. �°c s w i= vQ�tell W%� ySl.ZU3 -li; <br />CONTACT FOR PERMIT PHONE �J15 � S�' S y L L <br />/'�'%� U r✓ <br />AUDRESS v� � ����r <br />MATSoN �R�/�r.tTir� 7305 59�� pL Ny� /�1H/1;�(✓�//t W/� %�270 <br />�J�J�Q i � �f � // , <br />I — HEATSOURCE <br />E�ectric _ Gas Other <br />WORKDESCRIPTION f�e�/Gc¢ CX�S7��"� 3Zv s,f,fh Qec.f <br />NO. I TYPE OF FU( i URE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal . <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease �rap <br />Roof drains <br />Olher <br />'-1L 6 35s 55�2� <br />CONTRACT PRICE OF WORK <br />��U� 000 %G'`fD <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air hanaung um�s <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas tireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />� Retrigeration <br />Woodstove <br />O�her <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />I hereby certify ihat I have read and examined this applicalion and know the same to be true and correct. All provisions oi laws and <br />ordinances governing lhis type of work will be complied with whether specified herein or not. The granting of a pertnit does not presume <br />to give authority lo violale or cancel lhe provision of any other state or Iocai law regulating conslruction or ihe performance oi <br />construclion. That I am au�horized by :he owner of lhis propeAy to peAorm ihe work for which applicalion is made and I comply with ihe <br />State Gpntractors Law 1627 CW and 296200 WAC. <br />� <br />r�'! 'I •/� // 'zJ_�--____. ��/�L� �0.�% <br />Signature'of wner/ ontractodAuthonzed Agent Date �/Z <br />, 1 <br />s <br />