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SITE ADDRESS <br />�� <br />LEGALI u� N0. <br />DFSC.� ,1� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERWICES <br />3200 CEDAR STREET, EVtRETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />s. E. <br />BLOCK <br />_ �S E +K� F.S � <br />fENANTNAME <br />CONTRACTOR <br />CONTR. LICENSE N <br />USE Of BUILDING <br />PARCEL T I,D. M <br />�oS �Ha� 30 3yo0 <br />TRACT <br />CONTACT FOR PERMIT <br />��C-N IP60// A/o <br />t '�M��� �KC � ADDRESS � <br />sA�E <br />os� l�lZ�"O`lZwL <br />5 , F R. <br />WORK DESCRIPTION <br />..iq_U� <br />PE�RM7IT # � � <br />C /a�r' o �� <br />_...._..9�'ZT/ ..._"' <br />��9R✓6d�`IlE .3G�c.6s.2 7i 9/ <br />PHONE <br />,i'6r! .�.�fi 3/�0 -c s2 -7_ yL <br />CITY2IP PHONE <br />HEATSOURCE <br />_ Elodric �Gas _ Olhor <br />CONTRACT PRICE OF WORK <br />Crou�neu�-T�'aN oF �s,N��c FAM��Ly R�s�'or-i✓�N ��Aste ���,y� <br />/ <br />NO. I TYPE OF FI%TI�RE OR �TEM <br />Toilat <br />Hathtub <br />Lavalory (wash basin) <br />Showor <br />Kilchen sink 8 dis{x�s:il <br />Dishwasher <br />Clolhes washor <br />Walor heatar <br />Sink (scrvicalbadnwpl�lc.) <br />Rackflow proventcr <br />.,rinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roal drains <br />Olher <br />NO. I TYPE OF FUfTURE OR ITEM <br />— A/C - alr handling unils <br />� Forced alr syslems <br />� Gas pipin� <br />� Wator hoator <br />Gas fireplace <br />� Gasrango <br />S( Clothos dryer <br />tl Ranc7e hood <br />,� ExhausUan <br />— He2t pump <br />Unil hoator <br />— Bollar <br />— Rolrigeralion <br />Woodstove <br />� nu,.,. <br />�ITY OF EVERETT LOCAL SALES TAl( CODE IS 9105 <br />I heroby cerility that I have read and axaminod this application and know tha same lo be truo and correct. All provisions ol laws and <br />ordinacos c�oveminc� Oiis lypo ol Nork will ba compliod wilh whelhor specified horoin or noL The granling of a permil does not presume <br />lo givA aulhoriry lo viola�o or cancol tho provision ol any olhor skle or local law regulating consWclion or the peAormance ol <br />construr,lion. That I am authorizod by the owncr ollhis property t i poAorm tho work for which application is made and I comply wilh Ihe <br />Slalo Contractors Law 18.27 RCW an� 296.200 WAC. <br />�r E_.v N �/-1 � %/9 �07 <br />