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P�RMIT APPLICATIG��! <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-25? -8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLlCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS � R <br />��bH 3�N0 yT �r� <br />LEGAL LOT NO. 9LOCK <br />pESC. <br />OWNER <br />St� G,�Scvrwi 31�0 <br />TENANT NAME <br />CONTRACTORJG CDIY✓� <br />CONTR. UCENSE il <br />USE OF BUILDING I <br />�'�h ---- <br />W�RK DESCRIPTION <br />3 TowN�vwa� <br />N0. I TYPE OF FIXTURE OR ITEM17 <br />� Toilel <br />yL Bathtub <br />/_� Lavalory (wash basin) <br />- Shower <br />1 Kitchen sink & disposal <br />� Dishwasher <br />I Clolhes washer <br />Water heater <br />Sink (service/badmop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />PARCEL TAX I.D. # <br />DD�k390 <br />TRACT OR SUBDIVISION # <br />ADDRESS <br />G�acre� P�' Av� <br />CONTACT FOR PERMIT <br />Jw GrtSw��.,7 <br />ADORESS <br />3120 (,-�q <br />HEAT SOURCE <br />_ Eleciric � Gas _, Other <br />!' <br />S —�`�1 <br />3�,3-06 �` s <br />PHONE 75�'0 /�5 <br />J U <br />E-MAIL �PI'W_G�OOy.Qd�ti <br />CONTRACT PRICE OF WORK <br />2zS,D00,o� <br />/3i Z <br />/� �z� <br />NO. I TYPE OF FIXTURE OR ITEM <br />FVC - air handling imils <br />—L Forced air systems <br />2 Gas piping <br />? Wa�er heater <br />� Gas fireplace <br />Gas range <br />�Clolhes dryer <br />Range hood <br />� Exhaust (an <br />Heat pump <br />Unit heater <br />_ Bo�Ier � <br />Retrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cer'lify Ihat I have read and examined this application and know lhe same to be lrue and correcl All provisions of laws and <br />ordinaces yoverning lhis lype of work w�ll be complied wilh whether specified herein or not. The yranting of a permi� does nol presume <br />lo yive authoriry to violale or cancel Ihe provision oi any olher state or local law reguiating construction or the perfonnance of <br />conslruclion. Thal I am aulhorized by lhe owner oi this properly to perform the work for which application is made a� id I comply with lhe <br />Slate Conlraclors Law 18.27 RCW and 296200 WAC. <br />Slgn�ture of OwnedContraclor/Aulhorized Agent Date <br />��a <br />