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�7 <br />%-2� � -f',k� <br />PERPJIIT APPLIC�4TIO�V <br />CITY OF Ei/ERETT PERMiT �ERVICES <br />3200 GEDAR STREET, EVERETY, WP. 98201 <br />f�y � <br />425-257-8810 - FAX 425-257-8857 - �.vnnv.everettwa.org <br />I� � APPLICATIONS ARE ACCEPTED FROM 0 AM TO 4 PM i,�)=�.-����_ <br />SITE ADDRESS c PAN�EL TAX I.D. # l /PJERMIT # � <br />��euJA�-���0.Ce�{�e� Q ��13giJQ�-Oia��l0'I.5-CAI C�S�� %��O <br />LEG1�L, LOT NO. BLOCK TRACT _ ,� I <br />DESGr �'�r <br />•� <br />� <br />OWNER AODRESS CITY2IP PHONE y2S-a51-Io110 <br />N�V�Ay�� �'V�t-UPrnQ�-s,�c. 18z�5 7�No AvE 5�Arr W�4 `18032 <br />TENANT NAME CONTACT FOR PERM T PHONE <br />N�lk W A1,� ue ��-�,� �(2S- (�Sb - 7Y3 S <br />CONTRACTOR �� B� AE."]�M�N� ADDRESS CITY21p PHONE <br />CONTR. LICENSE # <br />USE OF BUILDING 5iu5 le- �m� �� HEAT SOURCE I CONTRACT PftICE OF �'�uHK <br />� � CS"� <br />R.eSl�e��l (,�N�01'u�w. _c.leclric ✓Vas_Other I ��(���• � <br />WORK DESCRIPTION <br />'/�D CbN51%uAc� <br />Sii�' �LC -FAmiC I ,DQ��-t�1� <br />( � 1 <br />� � <br />NO. I TYPE OF FIXTURE OR ITEM <br />� Toilel <br />� Bath�ub <br />� Lavatory(wa:L.�asin) <br />_L Shower <br />_.L Kilchen sink & dispos�i <br />_�, Dishwasher <br />� Clothes washer <br />�_ Laundry Iray <br />1_ Sink(service/badmople;c.� <br />dackflovd prevenler <br />Urinal <br />Drinking Fountain <br />Floordrain <br />Grease trap <br />_� Roof drains <br />Other <br />:[�a <br />CoN�on�� NiKw� uu�T <br />MtGHANIGAL <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handlinq umts <br />Forced air systeris <br />G25 piping <br />Watar heater <br />Gas freplace <br />Gas ran9e <br />Cblhes dryer <br />Range hood <br />Exhau:�,t fan <br />Heat pump <br />Unit heater <br />Doiler <br />Re(rigeration <br />Woadstove <br />CIN OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />I hereby cenlify that I have read and examined lhis applicalion and know the same to be true and correcl All provisions of laws and <br />ordinaces governing �his type of work will 6e complied with whether specified herein or nol The granling o( a permil does not presume <br />to give authonly lo violate or cancel the provision of any olher state or local law regulaling construdion or the perfoimance of <br />const�yclion. That I am authorized by the owner of this property to pedorm ihe work for which application is made and I wmply wilh the <br />State Chntractorslaw 1827 RCW r� 7�BF2�D WAC. <br />� , <br />� <br />