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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SER�JICES <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 />SITE ADDRESS <br />�4�14 94�5 r-,T. �i•►�/• <br />LEGAL LOTNO. BLOCK I TRRCT <br />OESC. � � ( r1T <br />,u, In9 <br />PARCEL TA% I.D. N <br />�[ad-Ro�.tJol nnl�oZ <br />�jJ � C <br />GO�-lo-03�- <br />PERMITN 3/ � <br />Aqrie aw � <br />/� AuuResa ••••••_•. . . - <br />C.00I', - g33Z � 5,—. S,E: C�E ��, `�zo5 i4zs dzz-v�a� <br />iENANTNAME CONTACTFOR PERMR rn�ne <br />�I� B,w Por��z C Zs� 47.Z -�%� <br />CONTRACTOR CELwi� ��w iNU• A�DRESS �+�3= £�`�SzSEarrmP �Q,�HONE��.4LZ-�E'r( <br />CONTfL UCENSE � CE DR (-'-. N I�I S�O // <br />USE OF BUILDING <br />sr�✓�LE �9rni � <br />WORN UESCRIPTION <br />NO. I_ rPE OF FIl(TURE OR ITEfA <br />� Toilel <br />� Bathlub <br />� Lavatory (wash 6asln) <br />_L Shower <br />� KHdien sink 8 disposal <br />�_ Dishwasher <br />�_ Clolhes washer <br />Laundry trey <br />Sink (servicelbarlmoplelc.) <br />1 BackOow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease Irap <br />� Rool drains <br />Other ._ <br />HEAT SOURCE <br />_Electric _,ZGas_Other <br />CONTRACT PRICE OF WJRK <br />�'IG� OCX� °.' <br />NO. I TYPE OF FII(TURE OR ITEM <br />A/C — ah hendling units <br />Forced eir syslems <br />Gas piping <br />Waler hea�er <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaust lar <br />Nealpump <br />Unil heater <br />Boiler <br />Ralrlgeration <br />Woodstove <br />CfTY OF EVERETf LOCAL SALE9 TAI( CODE IS J106 <br />I hereby ceiitity that I heve reed and exami�ed this appliwtion and k�ow ihe same to be hue and correct. All provisions of laws end <br />ordinaces goveming this type ol worV: will be cort�plied wilh whefher spedfied herein or not. The gr�ntlng ol a permil dces not presume <br />to give au�hority lo violale or cancel Ihe provision ol any olher state or local law regulating construction or tbe peAomiance ol <br />wnstruclion. Thal I am authorized by Ihe owner ol lhis property to peAom� he�ork lor which applicalion is made and I comply wAh Ihe <br />Slate Cont{actors Law 1827 RCW and/296200 WAC. <br />� 't <br />!O <br />��z <br />