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PERMIT APPLICATIAN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETI", WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTE� GROM 8 AM TO 4 PM <br />SITE ADDRESS <br />� '3 ���' I r. ' <br />LEGAL LOT tlO. 1 I BLOCK <br />DESC. � y <br />U(�.CI:.r �. (—� U N�C <br />TENANT NAME <br />CONTR4CTOR / <br />G.l�r. (�fUH� � <br />COMTP.. LICENSE 31 <br />USE OF BUILDING <br />�/� C A �2—.� SXa���, <br />i= 2 _ <br />WORK DESCRIPTION <br />��. Ic� /� <br />ly <br />n� � -�fG� C•z <br />CONTACT FOH PERMIT <br />ADDRE55 <br />/�C� 4�.!�2-2I <br />P MIT# <br />U -Gr-''� <br />S/Z� f /` �//��C�.('.v� <br />r <br />PHONE <br />CITYIZIP PHONE <br />HEATSOURCE <br />_ Eleclric �Gas _ Olher <br />Z�c, y SF�z <br />NO. I TYPE OF FIXTURE OR ITEM <br />S I Toilel <br />� Bath�ub <br />� Lavalory (wash basin) <br />l Shower <br />� Kitchen sink 8 disposal <br />� Gish�vasher <br />� Clolhes washer <br />� YJaten c�ater <br />� Sink (service/bar/mop/elc.) <br />Bac4flow preventer <br />Urinal <br />Drinkinc� Fountain <br />Floor drain <br />Grease lrap <br />� Roof dreins <br />Other <br />�S`i - CJ �w <br />r� <br />CONTRACT PRICE OF WORK <br />I � U�,-0a� . <br />2i3�9� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Fo�ced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Retric�eralion <br />Woodstove <br />Other <br />CITY Of EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriti(y Ihat I have read and examined lhis application and know lhe same lo be lrue and correcl All provisions of laws and <br />ordinaces goveming this lype o( �vork will be complied with whether specified herein or nol The granline� of a permit does nol presume <br />to give aulhoriry lo violate or cancel the provision of any olher slale or local law regulating construclion or lhe pedormance of <br />conslruclion. Thal I am aulhor�ed by lhe owner of this proparly lo perform the vaork for which application is madz and I comply with the <br />Slate Contraclors Law 18.27 W an 2�Jt`i AC. <br />� ��_�-�` :�'���_ � //� ��� <br />