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JRN-27-200`' 08:35 FROM: <br />T�:14252578857 P.2 <br />PERMIT APpLICATION <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 9 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />cjY1�1� � •! �� <br />LOT H0. <br />z 2l f�� — <br />BLOCK <br />�Crrs�-i r� C� d2 n1r I(� � <br />TENANTNAME <br />� j'� � r �1-h�rv�c� <br />�ow�� �� <br />CONTR. LICEN9E A�� SH <br />J <br />USE OF BUILDING <br />V � <br />WORK DESCRIPTION <br />PARCEL TAX I.D. N <br />..i n__ _ i <br />TRACT <br />II <br />p <br />Z I J'f' S'f � u.ev� � � �n <br />CONTACTFORPERMIT PHONE <br />L1 YlG%'i �ZS "J `7� ��d'`(f <br />v —' v �� <br />!E <br />C1TY21P PHONE <br />Wq7y�q� '7_�4 `��-�8� <br />v� <br />HEAT SOURCE I CONTRACT PRICE OF WOFiK <br />_ElecWc �Gas_Othdr (,Q�i( <br />�4f � q� f G�-�— l�e�.- <br />NO. I TYPE pF FI7(TLRE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clathes washer <br />Laundry Vay <br />Sink (servicalbar/moplete.) <br />Backflow preventer <br />Urinal <br />Drinking Fountaln <br />Ftoor drain <br />Grease trap <br />Rocf drains <br />O�her <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — alr handlin9 units <br />Forced aIr systems <br />Gaa piping <br />Water heater <br />Gas flreplece <br />Gas ranga <br />Clothes dryer <br />Range hood <br />Euhaustfan <br />Heal pump <br />Unit heater <br />Boller <br />RetrlgeroUon <br />Woodstove <br />CITY OF EVERETT LOCAL SALES 7AX COOE IS �tOS <br />I hareb� cerilNy that I have read and examined this 2pplicadon and know Iha same to be true and coned All provislons of laws and <br />ordina :es governing thls rype af work wlll be complied with whether specifled herein or nul. Tne g2nting of a pertnil does not presume <br />to glve authority N violate or cancel the provision of any olhei stale or lawl law regulating constn:ctlon or the performanca of <br />w;islr�clicn. That I am eulharized by the owner of this property tq perform lhe work for whlch appllcatlon is mede and I comply wllh lhe <br />Stat�ractars Law 7.�W and�0 WAC. �/�� �0�� <br />1,1.�1 � w. <br />