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SITE ADDRESS <br />24/�f <br />LEGA LOTNO. <br />DESC. -1 ! 2� <br />�1��'Ia 5 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERIIAIT 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 />PARCFL TAX I.D. �f <br />OO / 7 J <br />BLOCK TRACT <br />TENANTNAME <br />Ran T��Gke2 <br />/` <br />r�t/1 /-� ✓e /V� <br />5 <br />CONTACT FOR PERMIT <br />,y,,w �• ►��a ��. �u� <br />00 <br />CONTRACTOR ADDRESS CIN21P <br />EN�I�OME�JTAI, TA�.IK- �E�ViC,E 3ZCc0 g 3'f ��,sf2.� AUF�VR-nl <br />CONTR.LICENSEK �NV12-�CSO�l�F1�� �800� <br />USE OF BUILDING <br />��r - <br />WORK DESCRIPTION <br />� e�no <br />NO. I TYPE OF FI%TURE OR ITEM <br />Toilet <br />Balhlub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Waler healer <br />Sink (service/badmop/etc.) <br />Ba� �c(low prevenlor <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />HEATSOURCE <br />_ Electric _ Gas _ Other <br />,� l� .s�' <br />PERMIT # <br />Bo5o7-0/3 <br />zv�, - 9SS-�`)b'0 <br />PHONE <br />-_ z,q_ �z�n <br />PHONE <br />253-�b33 -43�5 <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />AIC — air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas Tireplace <br />Gas range <br />Clothes dryer <br />Ranga hood <br />Exhauslfan <br />Heat pump <br />Unil healer <br />Boiler <br />Refrigeralion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerili(y that I havo read and examined Ihis applicalion and know the same to be true and correct. All provisfons cf laws and <br />ordinaces governing this lypo of work will be complied with whether specified herein or nol. The granGng of a permit does not presume <br />to give aulhoriry to violate or cancel lha provision of any olher slate or local law regulatlng consWctlon or lha peAor.nance ot <br />construction. That I am authorized by the owner ot this propeAy to per(orm the work for which applica6on is made and I compiy with the <br />State Contractors Law 18.27 RCW and 296.2U0 WAC. <br />G.i—� <br />