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� <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 8 AM TO 4 PM <br />SITE ADDRESS ��'� �� � r� � � F <br />. �u4 � <br />LEGA LOTNO. BLOCK <br />TENANTNAME <br />J��; ���1 ��,�� C��.�L. <br />Cr,�� t1a,��M� nnc� CccIP��� ��� <br />CONTR.LICENSE# �FMNEb�C`i��i/_D <br />USE OF BUILDING <br />�}�� i ly. <br />PARCEL TAX I.D. # <br />TRACT OH SUBDIVISION p <br />ADORESS <br />CONTACT FOR PERMIT <br />�c�v� � o�u,s <br />"A6DA t�` Br{ b73�� <br />NEATSOURCE <br />_ Electric X Gas _ Other <br />PERMIT # <br />M 7 0 (� - <br />PhONE ��Z.�.yE�' 34"ll <br />F.Mn�� �a,:r4:��lm�l�u�; <br />�.��bMGI' � I�.U'a� <br />LI2•>�c��r,�,3�111 <br />CONTRACT PRICE OF WORK <br />�� (��CCO.OG <br />WORK DESCRIPTION <br />�!�'�c�`� �\i ;�'1�+ !;���P�r� l.�L 1:'•'„}- -� (C �jc' lli �n�5i�rl� C��`� �1MC'�Fl� <br />I <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toile� <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Cbthes washer <br />Water heater <br />Sink �service/bar/mop/etc.) <br />Back!low preventer <br />Urinal <br />Orinking Fountain <br />Floor drain <br />Grcase trap <br />Roof drains <br />Olher <br />Nb. I TYPE OF FIXTURE OR ITEM <br />%� A/C—airhandlingunits <br />Forced air systems <br />T Gas piping <br />Wa1er heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Eahaustfan <br />liaat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />I hereby ceritity that I have read and examined this appiication and know the same to be true and correct. All provisions of laws and <br />ordinaces governing ihis type of work will be complieo with whether gpecified herein or not. The granting of a permit does no! presume <br />to give aulhoriry to violate or cancel ihe provision of any other state or local law regulaling construction or the pedormance of <br />conslruction. That I am authorized by the owner of ihis property to perform !he work tor which applicalion is made and I comply with the <br />State Con�rectors Law 18.27 RCW and 296.200 WAC. <br />