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SITE ADDRESS <br />� �.iAL� LOT N0. <br />DESC. ,,, <br />PERMIT APPLICATIVN <br />CITY OF EVERETT PERMIT SERVICES <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 <br />BLOCK 1 TRACT <br />PARCEI TAl( I.O. p PERMIT p <br />91 ���CiC10 i n�� r� �� �JS /(> - 01� <br />G�r,�l� �c�k�l _ I�I� ir�,+ ri.s.�:_ ��tz5>3�In-'7GJ0..� <br />TtNANTNAME CONTACTFORPERMIT PHONE <br />�v�d (n�l��ns �G(�(obl-3�1'7'7 <br />CONTRACTOR �IU.��,�� GE�:.r�j (�uni�(ip,k�^,i°' RESS'j�)�[�, ��y� <br />CONTR. LICENSE p � <br />I�1lAi.L,lbC.p�1�1 bD >-Ii1 • �'7 <br />USE OF BUILDING <br />�1 <br />HEATSOURCE <br />�Eloclric Gas Other <br />�!-,V��n:'r� ��Ic(n�S� 1853 <br />�' - <br />WORN DESCRIPTION <br />1iE n*�r �Yu' k(;• �� r•. facl.:i R` c1e�,�, 11.' w�rlr Ioa�4.�ar..�Uos��. <br />I:C.a <br />PLUMBING <br />7YPE OF FIXTURE OR ITEM <br />Toile� <br />�ath!ub <br />Lavatop- (wash basin) <br />Shower <br />Kilchr.n sink 8 disposal <br />Dishwashcr <br />Clolhcs washer <br />Laundry tray <br />Sink (service/badmop/elr..) <br />Backfbw prevunter <br />Urinal <br />Drinkin� Founlain <br />Floor Arain <br />Groaso trap <br />Roof drains <br />Other <br />T PRICE OF WORK <br />� oZ��OfJG <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air syslems <br />Gas piping <br />Watar heater <br />Gas lireplaco <br />Gas range <br />Clolhes dryer <br />Ran�e hood <br />_/ Ewhausl fan <br />_ Hea�pump <br />Uni� hea�er <br />Boiler <br />Relrigeralion <br />Woodstove <br />Olh:.r <br />CITY OF EVERtTT LOCAL SALES TAl( CODE IS J105 <br />I hereby ceritify thal I hnve r�ad and ezamined this applicalion and Anow the same tt be irue and conect. P,II provisions ol laws end <br />ordinacos yoverning this �ype o( work will be complied with whelher specifiad herein or nol. The granting ol a permil does nol presume <br />to givo authority to violat�� or cancel the provision of eny other slate or local law regulating consWction or fhe pertormance of <br />eonslrurtioa Thal I�m eudhorized hy Ihe owner of Ihis property lo peAorm tho work for which application is made and 1 compty wilh lhe <br />Slate Cnntraclors Law 1827 RCW and 296.200 WAC. <br />� � .� � ,., . � , <br />� _ -� � C / <br />Sign,duroo�OwnedConiractodAuthorizedAgent ��� Date <br />/� <br />