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PER.MIT A�PLI�ATION <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 �� �.7.-�D <br />SITE ADrRESS PARCEL TAX I.D. M ERMIT N <br />/8/ /OS'�' S� 5r. [X�5�520�� lo i 900 �����)- �> 1 c� <br />LEGA LOT NO. BLOCN TRACT OR SUBOIVI910N � <br />oesc. /9 / /�-n-r oF s���d-x I.ni« Lannre+l TMc-r� Vo�. $ Pa. � i <br />ONMER ADORE83 CITYIZIP PHONE yZs <br />t� Mucr. t A�uNeT-rt IIuPo�A Z9i27 �10 � s�N►,i S-rh.+,�o 9szg z 757�-Gysj <br />TENANT NAME CON7ACT FOR PERMIT PHONE yZ5 -��p _� y.S 3 <br />I� ll� I NL(�O LA E-MAIUv1I��G�F7KtMIEri0M6� <br />GortnlFn�ro,.� J-�o.AEs �f W� L�C �. o.�Sa K i�4z� M� � I C�u..�ac �% 338 - 58 88 <br />CONTR. LICENSE M O <br />C;oRrIEF(Nq470A Sxi. 9�i�2oiz �l� �Z <br />USE OF BUILDINO <br />HEAT SOURCE <br />✓Eleclric _ Ges _ Other <br />WORK DESCRIPTION <br />�Lt o�C �•J A-,�! o s�-7 - N-/ m o � u r.F2 oF�r �c <br />NO. � TYPE OF FI%TURE OR ITEM <br />Toilel <br />Bathtub <br />Lavatory (wash basin) <br />$hOWBf <br />Kilclien sink & disposal <br />Oishwnsher <br />Clnlhes wosher <br />Wa�er healer <br />Sink (servlcelbarlmopletc.) <br />6ack0ow prevenler <br />Urinal <br />Dnnking Founlain <br />Floor dr9m <br />Grease Irap <br />Roof drams <br />Olh�� — — <br />,e v <br />r <br />' Tr b r5 <br />!,-� C r��� <br />`` ,.\ <br />� <br />CONTRACT PRICE OF WORK <br />�P J�i � <br />tY.YJ • <br />TYPE OF FI%TURE OR ITEM <br />I A/C - air handling units <br />' Forced air systema ' <br />Gas piping <br />W3�Bf hP.:��df � <br />Gas fireplace '1 , <br />Gas ranga 1 � �.L�t� `� <br />Clothes drytr �� 1,�„� <br />Ranc7e hood <br />Exhaus� fen '��� � <br />Neat pump � <br />Unit heater � <br />CITV OF EVERETT LOCAL SALE9 TA% CODE IS J106 <br />I hereby cerlity thet I have read and examined Ihis epplica�ion end know the sama lo be Irue end correct. All provisions ot laws end <br />o�dinances goveming Ihis lype of work wil� be complied with whether epecified herein or not. The grenting of a permit dcea not preaume <br />lo give authority to vidaie or cancel Ihe pruvision of any o�her slate or local law regula�ing conalruction or Ihe peAormence o1 <br />const�uclion 7hat I em aulhorired by the awner ol this property lo perform iha work lor which applicelion ie mede end I comply with Ihe <br />Stete Contractors Lew 1d 27 RCW end 298200 WAC, <br />9-/� �ie <br />' �Z <br />US <br />