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PERIVIIT APi'LICATION <br />CITY OF EVERETT PERMIT SL�RVICES <br />32�J0 CEDAR STREET, FV�RETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APFlICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />`�i .—! t r �l e'J <br />j�1J /�(�-l>� % <br />SITE ADDRESS `Ig20tj PARCEL TAX I.D. # P�RMIT # <br />ta�f 15 7� ✓ES.�.t�re-1-I ola�q�oaao��oo (�> -- <br />LEGA LOT NO. BLOCK TRACT OR SUBDIVISION k A,F,N. <br />oesc. � � �9� $ouTM ��Avk �STk'fE5 � Z�7o31(i' 52oq <br />TENANT NAME <br />CONTRACTOR <br />Pf�IFIC µE16.H75 <br />CONTR. LICENSE # _ . . <br />USE OF BL'ILDING <br />SIV��t. �aw�i�y �jc�tncR_. <br />Za St. �veved NMtf kkf.y�'�fii7 �'�.rre-d ,�Ik 4y1.�8 ' <br />CONTACT FOR PERMIT <br />�bOv� �iN��afe✓ <br />PHONE ��75, STiD. O%Q� <br />�..�u , fAS6N .r. �I N�C�q'hS���' <br />ADORtSJ � ���T��-�r ""•`� <br />< <0�0 Sr Et,�Yttl (Nlall Wu/5Ft.3sv� £u¢✓'e�t{, R <br />. . .. ' iA��I �/l • . •. . !' y.7S�S�.di�% <br />HEAT <br />_ Electric � Gas _ Other <br />CONTRACT PRICE OF WORK <br />WORK DESC�dPTION /��5� •�fi�� �� ��.y,� � F'��i L/ KQSIG��� <br />l. IV C� <br />��3�� <br />PLUMBING <br />Np, I TYPE OF fIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Wa�er healer <br />Sink (service/barlmop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roo( drains <br />Other <br />NO. � TYPE OF FIXTURE OR ITEM <br />_L_ <br />A/C — air hand!ing units <br />Forced air systems <br />Gas p�oing <br />Waier heater <br />Gas fireplace <br />Gas range <br />C101heS d,yc-� <br />Ra�ae hood <br />�slfan <br />Neat pump <br />Unil heater <br />Boiler <br />Refrigeration <br />Woodstove <br />0!her <br />CITY OF EVER[TT LOCAL SALES TAX CODE IS 3105 <br />I hereby certiiy lhal I have read and examined lhis application and know lhe same lo be true and correcf. All provisions of laws and <br />ordinsnces governing lhis lype of work will be complied wilh whelher specified herein or not. The granting oF a pemiit does not presume <br />Io give auihority lc violate or cancel lhe sion of any olher stale or Iocai law regulaling construction or ihe perfortnance of <br />conslruction. I am authorized b e ow er of lhis property lo periorm the work (o which applicalion is made 2nd I comply wilh lhe <br />S�ale Contr s Law 18.27 RCW nd 2� -- <br />�1R !d <br />SignaW of wnedConlractor thorizedAgent D e �I <br />� <br />