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F =RMIT APPLICAT�; N <br />CITY OF EVERF"TT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 125-257-8857 — wv,nv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />/L�-I z3 i7 "'�9J� �� <br />LEGAL LOT N0. BLOCK <br />DESC � i <br />�iT y � /��yc �u� <br />TENANT NAME � <br />G V N I 1<NG I Uit <br />��to2r� ,r✓�'� � LL� � <br />CON1R. LICENS[ # <br />/�v/�>!I NL 9so v�c. <br />USE OF BUILDING I <br />�'S�NGL,:` riScvit� ��Eg�J�11Cr <br />WORK DE3CRIPTION <br />(z142� <br />,�-�iaCL 3.�% <br />NO. I TYPE Of- FIXTURE OR ITEM <br />TUIIeI <br />f3alh�ub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwashei <br />Clolhestivasher <br />Water healer <br />Sink (servicelbadmoplelc.) <br />Fiackllow prevenler <br />Unnal <br />Drinking f-ountain <br />Floor drem <br />Grease Irap <br />Roo( drains <br />011ier <br />PARCEL TAX I.D. N <br />D/O 6 %'� a0000 rja <br />TRACT OR SUBDIVISION p <br />c�7ta?t G.f�E <br />ADDRESS <br />%'0 6'�'X �f 7Ca7 <br />CONTACT fOR PERMIT <br />�jaY�fS� �'�/•her,n/a�.� <br />A DRESS <br />G �':,r Z�Z6 <br />I1EAT SOURCE <br />� Electric �Gas _ Other <br />NO. <br />1�5 <br />G yNN�J��.�/�Y�•/G <br />PER�JIIT # , <br />� %l`��' <br />�>zf-�vs-�s33 <br />PHONE 2lJG !'e 3 / <br />E-MAIL /��"�t✓h htesz e%� r��t� �• i <br />:ITYIZIP PHONE <br />�•nre«/y8ay� �o� �6y-i5��; <br />CONTRACT PRICE OF WORK <br />TYPE OF FIXTURE OR ITEM <br />A/C — air h�ndling uni�s <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fiieplace <br />Gas range <br />Clolhes dryei <br />Range hood <br />Exhausifan <br />Heat pump <br />UNI hea�er <br />13oiler <br />Refrigeration <br />Woodslove <br />Olher <br />C� I Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerlify that I have read and examined lhis application and know Uie same to be true and correct. All provisions of laws and <br />ordinances goveming this type ot work will be complied with whelher speciGed herein or noL The granting ot a permit does not presume <br />lo give authorily lo violate or cancel Ihe provision of any oRier state or local law regulating construction or ihe pertormance of <br />const�r 1; �n. That I am aulhorized by Ihe owner o( lhis properly to perform the work (or �vhich application is made and I comply with ihe <br />Slal�Contt�ctoBs Law y(5.27 RGW and 296.200 WAC. <br />2>'//0 <br />I I <br />�z <br />