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SITE ADDRESS <br />IEGAL G�OTNO. <br />DESC. <br />OWNER <br />�O/'�r7 C1,9C��i` <br />TENANTNAME <br />PERMIT APPLICA � 10�1 <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STR�ET, EVERETi', WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 FM <br />PARCEL TAX I.D. # <br />70�'G�Dc�Z� <br />BLOCK. I TRACT <br />7ZC� y > �/jGl; Gt� <br />CONTACTFORPERMIT <br />�ctr�o :Tu�i�tn <br />CONTRACTOR � j AD�RE55 <br />G1 FEs f Y- �E %%mE� �fCn�s��r�c�c� !z'fZ <br />CONTR.LICENSE# . _ , .. _ ic/i�E <br />USE OF BUILDING <br />f <br />t ( <br />S/,vq��' -f'ami y ��i�%�cC <br />�—S.�o7 <br />PERMIT # <br />CITYIZIP PHONE <br />� ��✓` . <br />PHONE <br />`�lS =�/�/.�``� <br />CITY2�P PHONE <br />s/q�D' i�vF' . /''��.r'✓/���J�f'Z70 ZC'.G' <br />t //�'%�%!J� <br />HEATSOURCE <br />� Electric _ Gas _ Other <br />CONTRACT PRICE OF WORK <br />�no <br />WORK DESCRIPTION / / <br />- ,�'�N ,-�: /c�m-�Ia•� �rF LY�U�frE�`�� E'�`, Fh;mH :�/ ;,,�u/,/ �.'C�rl„<4 <br />wr.�,r���ct���'i'� C<�irc'c�v'f".��2mF' ; c�' f',Y�'i� GQ/t20E fa ��v..� �'%ltt�� <br />./ ✓ <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilet <br />IBathtub <br />Lavatory (wash basin) <br />i Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Z Clolhes washer <br />Laundry Vay <br />Sink (service/bar/mop/etc.) <br />Backflow preven!er <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />I <br />NO. � TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />�orced air systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heatpump <br />Unit heater <br />Boiler <br />Refrigcralion <br />Woodstove <br />Olher <br />CIN OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />I hereby cerilify thal I have read and examined this application and know the same lo be true and correcL All provisions of laws and <br />ordinaces governing this type of work will bz complied wilh whelher specified herein or not. The granling of a permil does noi presume <br />to give authority to violale r cancel the provision of any other stale or local law regulating construction or the performance of <br />cons}'u�Gtion. That I am � iorized by the owner of this property to perform !he work for which applicalion is made and I comply with lhe <br />Sta�b Cuntractors w .27 W and �962 WAC. <br />�� � � ,.� 7�; <br />� ah�re Owner ontractodAuthorized ent Dale <br />6; i' <br />3 <br />