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.� <br />P�RMIT APPLICATIC��� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, E`✓ERETT, WA 98201 /� �� ,/ri <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org /��� U <br />APPLICATION� ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDiT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS �7' ��� � PARCEL TAX I.D. # <br />—�OiZ �IT14 ��L (N 2f3o4i3 -oc�z- oyi - ub <br />LEGAI LOTNO. BLOCK TRACT S�ss��•• �3 'iv�-.,�W� Zfy y <br />DESC. Z Coc iZpL-oiL�05 AF�HZ�,;SJ�ZSSL40 <br />L-1i1<�Li��lO �"WINE$ �nc _ 1 J i��X �`i8 �k $� <br />TENANT NAME CONTACT FOR PERMIi <br />�T'cUc �1'i�`'—� <br />CONTRACTOR ADDRESS <br />CONTR. LICENSEl1 L��� � MZ v� � SL <br />�v�5 48zs� <br />; y-�c 3S� <br />CITY2IP <br />; . '. <br />USE OF BUILDIN�; HEAT SOURCE <br />��„ I _ Electric /s _ Other <br />WORK DESCtiSPTION <br />C,o �� S i i21J c—r� c v� u w Z v u C.. � SFYL <br />PLUMBING <br />NO. I TYpE OF FIXTURE OR ITEM <br />�_ Toilet <br />� Balhtub <br />� lavatory (wash basin) <br />L Shov✓er <br />t Kilchen sin!: 8 disposal <br />� Dishw2sher <br />� Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Back(low preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease irap <br />Roof drains <br />Other <br /># <br />a 4 1d k7ni� <br />4z.S 3t� ���� <br />PHONE <br />��� � ' <br />PHONE <br />CONTRACT PRICE OF WORK <br />f� �1-S� C � � � <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />! Forced air systems <br />Gas pipinc� <br />i Waterheater <br />� Gas fireplaca <br />I Gasrange <br />I Clolhes dryer <br />1 Range hood <br />� Exhausl �an <br />Heat pump <br />Unil heater <br />Boiler <br />Re(rigeration <br />Woodslove <br />Olher <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br />i nereby ceriti(y that I have read and examined lhis applicalion and know lhe same to be true and correcl. All provisions of laws and <br />oiJinaces governing this rype o( work will be complied with whether specified herein or not The granting of a permit does nol presume <br />to give authority to violale or cancel the provision of any other stale or local law regulaling wnstruction or the peAormance of <br />conslruction. That I am aulhorized by lhe owner of this property lo per(orm the work for which application is made and I comply with the <br />State Contractors Law tf3.27 RCW and 296.200 WAC. <br />�'S /G S <br />, <br />� <br />� <br />