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SITE ADURE:. . <br />�1 � <br />LEGAL 7f NO. <br />DESC. ��- # <br />OWNER <br />4 c�F �tiMlS. <br />TENANTNAME <br />P�cRMIT APPLICATIUN <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 />C��BLOCK TRACT <br />PARCEL TAX I.D. b <br />CONTACTFOR <br />MA <br />JI <br />PERMIT p <br />L°O!n/D-D <br />PHONE <br />� � ls5.2- 7Sy/ <br />� �EN �6oN `% kllY .S6TT!`[.s 3Ga-65I-7S'P/ <br />CONTRACTOR ADDRESS ' CITY2IP PHONE <br />R0.S& �OAAEd� INL' //70! MAR/NL .%�A'� J/J�R�t�3✓r%I6 9/11/ JGo-4f2-759/ <br />CONTR. LICENSE M <br />USE OF BUILDING <br />.S • F R• <br />WORK DESCR�PTION <br />HEATSOURCF <br />_ Eloctric � Gas _ Othor <br />CCNTRACT PRICE OF WORK <br />LoN.�TnuGr�'o,v af _tiN9/ti l--�lNiay ,C�'.s:.DE.vC6 iP/A.�/B� ��►s%� �214 <br />NO. <br />y <br />TYPE OF FIXT�IRE OR ITEK <br />Toilel <br />�athtub <br />Lavatory (wash I��isin) <br />Showcr <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washor <br />W.+lor heatnr <br />Sink (s�rvicolbadmoplolc.) <br />Bar.kllow prevonler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greaso trap <br />Rool dreins <br />Othr.r_ __ ___ ___ <br />NO. I TYPE OF FIXTURE OR ITEM <br />� <br />A/C - air handling unils <br />Forced air systems <br />Gas P�P'�9 <br />Waler healer <br />Gas fireplaco <br />Gas ranflo <br />Cblhos dryer <br />Range hood <br />Ezhaust(an <br />Heat pump <br />Unit hoator <br />Bollor <br />Refrigeration <br />Woodslove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS �705 <br />I hereby corility that I have read and examinod this appticalion and know the same lo be truo and correcL All provisions of laws and <br />ordinaces �ovorning this typo of work will bo compliod wilh whethor speci(ed hurein or not. The granting ot a permil does nut presume <br />to yi�•o aulhority Io violat� or cancol tho provision ol any olher state or �ocal law re�ulating consfruction or the peRormance of <br />cons•ruction. Th�t I am authorizod by �ho owner of Ihis property lo pedorm lho work lor which applicalion is made and I comply wi�h Ihe <br />State Conlractors Law 18.27 RCW and 296.200 WAC. <br />ra <br />