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PERMfT APPLIGATION <br />CITY GF EVERETT PERMIT SERVICES <br />3200 CcDAR STREET, EVEREI7. VVA 98201 <br />425-257-E3610 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED fROM 8 AM TO 4 PM <br />SITE ADDRESS � <br />�A LOTNO. BLOCK <br />UESC <br />OWNER <br />�or'�-E\�� �x-�s.Wnr�t <br />TENANTNAME <br />CONTRACTOR � �p�f1 �-�'1 r <br />CONTR- LICENSE A �C � �X,1�`(� <br />L1 <br />USE OF BUILOiNG <br />�s.a��.Q\�`r`e <br />PARCEL TAX I.D. S <br />TRACT OR SUBDIVISION M <br />7 COlITACT FOR PERMIT PHONE <br />J� � Z(�-� V L���1 E�tAAl4 <br />HEATSOURCE <br />� Elettnc� Gas _ Other <br />WORK�ESCRIP710N ��S-�p �S L�CAvl���.�,�� <br />NO. I TYPE OF FlXNRE OR ITEM <br />Tailet <br />OalhNb <br />La�alory (wash has�n) <br />Shower <br />Kitchen sink 6 disposai <br />Uishwa5her <br />CIOIh�J W38hCf <br />water nearer <br />gink (service�barlmopletc.) <br />Eiac�low preventer <br />Unnal <br />Drinking Fountnin <br />Floor draln <br />�'if0�$C VBp <br />ROOf drems <br />Othr.r <br />7 --�il�-►� <br />PE RMIT !1 <br />�NLC�o7.o`-�!' <br />a5.aa-5-l�c�a <br />'lN.4� 3, ��b�. <br />�j�8 l; � �t� �y 6 ��i od ��� : <br />CONTRACT PRICE OP woFtK <br />� ��j� �V <br />C. � <br />N0. I TYPE OF FUCTURC OR ITEfA <br />_� NC - �ir han0llCg Uni15 <br />� Forced air systems <br />Ges pipinc� <br />Wnte� neater <br />Gas firep!ace <br />� G�3 ranr� <br />^ Clolhes drycr <br />Rdnye hoad <br />Exhaust fan <br />I�;eat pump <br />Unit heatet <br />Boiler <br />Refrigeration <br />-- WO(�dsinv� <br />pTY OF EV[ItEiT LOCAL SALES 71UC CO�E 13 5105 <br />I hereoy cert�ty that I have read and examined thls applicatlon and know tt�e same to be true and �;;�rect. All provision; of la�es and <br />orcllnanws govemmg NIs type of work wdl be complied with whether speclLed hereln or noL The granGng oF a permit does not presume <br />to give aufhonry to violate or cancei the pro�sion of any other state or local lav+regulating consWc6on or the performance or <br />consl etion. That I am authoriz d by the owner oi this pmpfny to peAorm Ihe work tor vfiich appiica6on is ntade and I comply w�lh the <br />�te ontraciors Law 18.27 N anC 2 200 WAC. <br />/i� n /1/�it / � � �� %� �l r � � <br />