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— � -- � <br />PERi1fiIT APPLICATION <br />CITY OF EVERETT PERMIT �ERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS AF2E NOT ACCEPTED <br />SITE Ao RE�J i/ <br />1 <br />LEGAL LOT N0. BLOCK <br />oEs�. a <br />�OWNER ��1 <br />c��sanTl�M�.s, �-�. <br />TENANT NAME <br />C NTRACTOR <br />�� �..50v��D'cv-FS S'�c. <br />CONTR. LICENSE # �n _�C � � �� <br />�\ J <br />USE OF BUILDING <br />rVORK DESCRIPTION <br />,����� ��S <br />PLUMBING <br />NO. I TYFE OF F�XTURE OR ITEM <br />� Toilet <br />� Bathtub <br />� Lavatory (wash hasin) <br />I Shower <br />� Kitchen sink & disposal <br />� Dishwasher <br />� Ciothes washer <br />Laundry traY <br />Sink (servicelbarlmopletc.) <br />Backflow pr=_venter <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other __.— <br />PARCEL TAX I.D. # <br />�I`l/ 1 (Y/�i�__ /� <br />TRACT 11 � <br />5�� �aoa- � <br />ADDP.ESS <br />c�ae,ca�r22nl�hY �'�-�f'� <br />CO T FOR PER IT <br />PHONE <br />ao�- <br />� �rJ�a(7�n0.( a0l�-�-I�$`(o�t�li <br />ADDRESS CITY2IP PHCNF <br />�O�a� �u���e,�. �-u73 ���� �1�30`( aDlo-y�$-l��i�l7 <br />HEATSOURCE <br />_ ElecMc �Gas _ Other <br />GI�� <br />CONTRACT Nki�t ur wurcn <br />� t�� DSu--� ►'�G�v��� <br />TYPE OF FIXTURE OR ITEM <br />A/C - air handliny units <br />Forced air systems <br />Gas piping <br />W ater heater <br />Gas fireplace <br />Gas ranoe <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES SAX CODE IS 9105 <br />I hereby ceritify that I have re of work wilinbe comlpl'edPw lh`whether sp cit ed here n ob not�The g anNngto alipermit does not pr sume <br />oidinaces governing this ryp <br />to give authoriry to violate or cancel the provision of any other st?oe erfo m'the wo k or� wh ch appl'caUon is mP.fe anualncomply with the <br />construction. That I am authorized by the owner of this property � <br />State Cont tors L�w 18.27 FC anq, �6.ZOO WAC. <br />,� � �i�l',t,� (� � `�i <br />_ . ,....�---...�-`��"- �,. .,-x': ' Date <br />— �� � <br />