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( <br />PERMIT �APPLICATION <br />CITY � � EVERE'TT PERMIT SERVICES <br />/� / 320u CEDAR STREET, EVERETT, WA 98201 <br />/; �V�z�. R�:(425-257-8810-FAX425-257-8857-www.everellwa.org <br />�if2(!� ��'g77! S]SUTPPLICATIONS ARE ACCEPTED FROM 8 AM T0 4 PM <br />SITE ADDRESS PARCEL TAX I.D. # <br />�'�I�,q„� K� EvEee�r,' /1 aot8o�o ioo Go Z <br />LEGA LOTNO. BLOCK TRACT <br />OESC. g <br />OWNE� n ADDRESS CITY2IP <br />G�-,�� �cc ��vr LO�eP, 833Z S�'' Sr, �� �iE�7'l" <br />TENANTNAME <br />CONTRACTOR <br />CEona. 11�� /,�v. C��.e <br />CONTR. LICENSE # <br />c.�rr�eN��s�PF <br />LSE OF BUILCING <br />JiN4LL /7/iMi G Y <br />ICO�NT'ACT FOR PERMIT <br />rCJ /Ly �.e � <br />ADDRESS <br />8S3L 87► Sr�C <br />HEATSOURCE <br />_ Elnctric X Gas _ <br />2s( ��-� <br />PHONE <br />I'ZZ ��g ��` <br />� <br />CITY2IP PHONE _06�= <br />E�AP�S <4u� <br />CONTRACT PRICE OF WORK <br />� <br />Olher ��i �� <br />WORKDESCRIPTION /� _S�vCT SiNl�cF F+�'"��cy �s��X�(G.o.6. S�S'/G j�cAA/ <br />�aw <br />�''Z �:.) o^/ co r B t� NESTF.� To �•vNe.•,Es Si T� Pe.�.•I. <br />,S;A➢� aG -ozs. <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />BathWb <br />Lavatory (wash basln) <br />Shower <br />Kitchen sink 8 disposal <br />Dlshwashor <br />Clothes washor <br />Waler heater <br />Sink (servlce/bar/mop/otc.) <br />Backllow prevonter <br />Urinal <br />Drinking Fountaln <br />Floor drain <br />Groaso lrap <br />Roo( drains <br />Olhar <br />MECHANICAL .. <br />NO. I� TYPE OF FU(TURE OR ITEM <br />A/C — a�r hendling units <br />/ Forced air eystems <br />__�__ Gas piping <br />,� Weterhealer <br />� Ges Ilreplace <br />,L Gasrange <br />� Clathes dryor <br />,� Range hoad <br />,� Exhausl (an <br />Heal pump <br />Unit hoater <br />Boller <br />Refrigerallon <br />Woadslove <br />Olhor <br />CITY OF EVERETT LOCAI SALES TAX CODE IS ]105 <br />I heroby cerilify lhel I have read and examined this applicalion end know lhe same to be true and correcl. All provlslons of lawn end <br />ordinacos goveming thls typa o1 wnrk will be complled with whelher apeclfied hernin or not. The grenting of e pertnit doea not presume <br />to glvo authodly to violate ar cancel the provlsion of any other slete or local law regulaUng conetnictlon or the pedortnance of <br />construclion. That I am aulhoriznd by lhe owner of ihis property lo perform Ihe work for which eppllcatlon la made and I aomply wlth lhe <br />�Z <br />