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� �� � <br />SITE ADDRESS <br />9o�—rn.��-�e-s�, <br />LEGAL ! OT NO. <br />DESC. � -h�ll'GYlq%i �'% <br />F ERI�IIT ApPLIC�Tl�.)�J <br />CITY OF EVER'r'T'i PERMIT SERVICES <br />3200 C[DAR STREET, EVf_RETT, WA 98201 <br />425-257-8810 -� FAX 425-257-8857 — www.everettwa.org <br />�APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />J8.L0! PARCEL TAX I.D. # <br />�✓erett , WA OD�l3 8?/8 J�D 1 DO <br />BLOCK TRACT <br />/� 9 <br />�.i li�a z Petr' <br />TENANT NAM1E <br />.� <br />NA; ., , <br />CONTRACTOR �nP�, <br />CONTR. LICENSE # <br />USE OF BUILDING <br />,�iv� t �lZ1L <br />WORK DESCRIFTION <br />�o� <br />s� <br />=R IT # <br />�`� <br />`" �"� — <br />INE i��-� troic ' %✓ %9 <br />CONTACT FOR PERMIT PHONE <br />l.;L'r�a �'h,�►,r'e�et�t ..: (�1�25) 876- 79J�. �. <br />T <br />ADDRESS CITY2IP PHONE � <br />. � � � 1. ' `� r � � �, . <br />HEAT SOUKCE CONTRACT PRICE CF WORY. <br />V Eleclric �' Gas_Olher 2��O�L <br />�i/D /1�-� /ti L l( � <br />NO. I TYPE OF FIXTURE OR ITEM <br />� Toilel <br />y� BalhlUb <br />� Lavatory (wash basin) <br />�_ Shower <br />�Kitchen sink & disposal <br />Disiiwasher <br />3 Clothes �vasher <br />� Waler heater <br />Sink (service/bar/mop/elc.) <br />Backflow preventer <br />Urir.al <br />Drinking Fountain <br />Flo�r drain <br />Grease trap <br />Roof drains <br />Olher <br />�� <br />NO. I TYPE OF FIXTURE OR ITEM <br />— A/C — air handling units <br />� Forced air systems <br />� Gas piping <br />� Water heater <br />Gas fireplace <br />L Gas range <br />3 Clothes dryer <br />� Range hood <br />� Exhaust (an <br />— Heal pump <br />Ucit heater <br />� Boiler <br />— Refrigeration <br />-- Woodstove <br />CITY OF EVEREIT LOCAL SAIES TAX CODE IS 3105 <br />I hereby ceriti(y lhat I have read and examined ihis application and know the same lo be true and correcL All provisions of laws and <br />ordinaces goveming this lype o( work will be complied with whether speci(ied herein or not. The yranting of a permil does not presume <br />to give authority to violate or cancel the provision of any olher stale or local law regulaling consWction or lhe per(ormance of <br />construction. That I am authq�d by lhe owner of this property to pertorm lhe work (or which applicatir.n is made and I comply with lhe <br />State Contrsctors La�v 18�. S RCW d 296.200 WAC. <br />. i -,! / / i/' � � _ _ / . / <br />06 � �L <br />