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SITE ALDRESS <br />J to �j i�i <br />LEI: \L LOT NO. <br />DESC. � � <br />I <br />F'ERl4'lIT APPt_ICATION <br />CITY OF EVERETT PERMIT S�RVICES <br />3200 CEDAR STREET, EVERETT, W.4 9(3201 <br />425-257-881 G- FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROh9 8 AM TO 4 PM <br />g �' �' Oc� _ u� <br />BLOCK <br />PARCGL TAX I.D. # <br />�� P�� f� l c� 07_ ��D Y��n <br />TRACT <br />o t� G RE.ST <br />n <br />r� �'- � ��,'/ � — /� <br />PERMIT # <br />v ��//— OC� <br />...._.. � �� <br />o�ogi�£Ti �-�-or.��uC>S LLC 3G(.�I Coa(3y �vf/=f'i/ cld'':�1U o�54'IOOC� <br />TENANT NAME � CONTACT FOR PERPdIT PHONE <br />CONTRACTOR L. L(�.e u t>T (jL.c:T� U�V <br />524��ciS, LLG <br />CONTR. LICENSE fi n <br />�,ccoN���tS�-� <br />USE OF BUILDING <br />5F'R <br />WORK DESCRIPTION <br />Cr: �:ST�1tsc.T' /`�4: W SF,�• <br />NO. <br />PLUM <br />TYP[ OF FIX7URE OR ITEM <br />Toilet <br />Balhtub <br />Lavafory (wash basin) <br />Shower <br />Kitchen sink 8 di,posal <br />Dishwasher <br />Clalhes washer <br />Walor healer <br />Sink (scrvice/badmop/otc.) <br />Backtlow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greasetrap <br />Roof drair�s <br />Olher _ <br />�3; � I �.a�.c�u s <br />ADDRE53 � <br />j�m�j t'i.70�0 <br />��JP� ��TJn•Oj,✓9y <br />r. . . <br />�ras-a5s-s�SZ <br />r1EAT SOURCE <br />i <br />_ Eleclric ��Gas _ Othcr <br />LL / <br />f.Ga <br />� <br />CITYIZIP PHONE <br />'-��5-�43-5b',r,Z <br />�1CONTRACT PRICE OF rYORK <br />H' I 30,�a v <br />mtc <br />TYPE O� FIXTURE OR ITEM <br />A/C — air handlin� unils <br />Forced air systems <br />Gas piping <br />Waler healer <br />Gas lireplace <br />Gas rango <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unit hoater <br />Boller <br />RefrigereUon <br />Woodstove <br />CITY OF EVERE'IT IOCAL SALES TAX CODE IS 3105 <br />I hereby ceriti(y Ihal I have read and examined this application and know Ihe same to be true and correct. All provisions of laws and <br />ordinaces goveming lhis typo of work will be complied wilh whether specified herein or nol. Tho grantinc� o( a permil does nol presume <br />lo give aulhority to violalc or cancel Ihe provision of any other slate or local law regulaGng consVuction or lho per(ormance of <br />construction. That I am aull;orized by lhc owner of this pmperly to perform lho work (or which application is made and I comply wilh Iho <br />Stato Conlraclors Law tf127 RCW and 296.200 WAC. <br />.- 1 <br />