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PE�nne�r aPP�i��e�r�orv <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-237-8810 - FAX 425-257-8857 - www.everettwa.org <br />SITE ADDRESS <br />fyJ'i. /li.`'AI%f <br />IEGAL LOT NO. _ <br />i <br />�-CEAtid�2�y itl?K 4lA��c <br />TENANT NAME <br />�- �-G'GA,v <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� b��t <br />BLOCK <br />-- _ j��/ y�'dti,�r��'G,��F=' y <br />CONTR. LICENSE # ������' ���' '���n'L���Eh <br />a <br />[�;il1P ��9/�) n.�.r iDL /�i� o <br />USE OF BUILDING� <br />/i�D/7,�� �Yt�1l� <br />�(� i t//? T i /, r <br />WORK DESCRIPTION <br />NO. <br />L`Cr_ <br />PARCEL TAX I.D. # <br />�Gs (,' (', .'.� ��i��CJ-.�r�Oci <br />TRACT OR SUBDIVISION # <br />S <br />�r�H <br />�-'�LP,Ai�'�i-���L�/� % <br />ACT FOR PERMIT <br />Ol-' �T�c�F ���,��/� <br />332,z -��i�� P�. ni. �/� <br />�7aluw�cn. v�/1 9b;1`iz <br />HEATSOURCE <br />��Eleclric Gas Other <br />TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory (�vash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Waler heater <br />Sink (service/badmoF;/etc ) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />/ <br />Roof draiqs i —�� , /�. <br />Other 'CZ-,L{, �._� n�, �L,� / <br />2 <br />PERMIT if <br />CG�G4- GU � <br />N� S �-?,v'S�. j�: i/ <br />so� _�r,•��.�� � 9 <br />PHONE%/,IS-9�f i1�i, <br />2t� _ I�'{-'fH'7 a <br />F.MAIL ,SLY- - 9</FJ-��J/L <br />.}�.�-�/i3.�,i,r,C: <br />�G6' -G.�.c. -H'`��'� <br />CONTRACT PRICE OF VlORK <br />NO. I TYPE OF FIXTURE OR ITEh1 <br />A/C - air handlir�g units <br />Forced air systems <br />Gas piping <br />1Nater heater <br />Gas fireplace <br />Gas range <br />Clotnes dryer <br />Range hood <br />Exhaust fan <br />Heai pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />_ Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify Ihat I have read and examined this application and know the same to be lrue and correct All provisions of laws and <br />ordinaces goveming ihis rype oi work will be compiied �vith whelher specified herein or nol The graniing of a permit does not presume <br />to give authority to violale or cancel the provision o( any other state or local law regulating construclion or the per(ormance of <br />construclion. That I am aulhorized by the owner of this properly to per(orm the work for which application is made and I comply with the <br />9tate Contractors Law 18.27 RCW and 296.200 WAC. <br />�. <br />�� <br />Y�L: �'i <br />