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iFERMiT APPLICATI�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />42�257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />517E ADDRESS <br />¢8i 9 3 3 `� <br />LEG LOT NO, <br />DESC. <br />ONMER <br />NJ �C Lrt o y <br />TENANT7IAME <br />�y�rn.N <br />w . r_lA c <br />BIOCK � TRACT <br />PARC�L 7AX I.D. � <br />� Do57/7do5o/a o 0 <br />:r�oha �S/ �I 33�v /i-Vcl � �V�'C�� (.t/A- ... ¢25- �/5[9 <br />CONTACT FOR PERMIT <br />PHONE <br />.�lo� R-PpL. I Tr,�J �'l��e:�7 ¢ZS_238-f�49 <br />CONTRACTOR ADDRESS ClTY/LP PHONE <br />CONTR LICENSE t 0 � � �R— <br />USE OF BUILDIWG <br />c�/.✓��4 i�A'+il�w� <br />, <br />HEAT SOl1RCE <br />_ Electnc �Gas,_ Olher <br />WORK DESCRIPTION <br />l�Sf2YLL �vOM /�P-h-�f�� <br />NO. � TYPE OF Fl)(TURE OR ITEM <br />Tdlet <br />Bsihtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />� Sink (service/barlmop/etc.) <br />Backflow preventer <br />_ Urinal <br />Drinking Fountain <br />Floor drain <br />Grease Uap <br />Roof drains <br />Other <br />_ Ty�: ��S <br />3o�ooa <br />no. � <br />CONTRACT PRICE OF WORK <br />�Z��J� <br />� PRo —Co�) <br />3r�.�� <br />TYPE OF FlXNRE OR REM <br />A/C — air hendling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gae fireplece <br />Gas range <br />Clothes dryer <br />Rangehood <br />Exhausl fan <br />Heat pump <br />Unit heater — �oo � <br />Boiler <br />Re6igeralion <br />Woodstove <br />Olher <br />CITY OF EVERETT IOCAI SALES 7A7( CODE IS 3105 <br />I heroby ceritily that I have read and examined thia applicalion and know fhe same to be true and coned. All provisions of lawa and <br />adinacea goveming Ihis type of xork will be complied wilh whelher spedfied herein or no1.1Tre grenting of a pertnit doea nol piesume <br />to give aulhority lo vidale or cancel the provisio� of any olher stale w bca� law regulating coi�atruction or ihe performance of <br />consWclion. That I am authorized by lhe owner of this property lo pertorm ihe work for which application is made and I comply with lhe <br />State Conlrac�ors L�aw 18.27 RCW and 298200 WAC. <br />� i �'�- �'l ���t�, /�7�v� <br />