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SITE ADDRESS <br />�s� � � �� <br />LEGAL � NO. <br />DESC. //�(i T � <br />P�RMIT APPLICATI(.,N <br />CITY OF EVERETT PERMIT SEI�VICES <br />3200 CEDAR STREET, EVERETT, WH 58201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEP" '0 FROM 8 AM TO 4 PM <br />BLOCK <br />RasE l-loNt �,s. 1++�_- <br />TENANTNAME <br />PARCEL TAl( I.D. q <br />05 /goo �03 <br />TRACT <br />� • � <br />.............. _.. .._.. . .._..-36e - GSZ- 759� <br />1170(. ��AR1A/6 �RiVE�O/NS✓i/��f QSZ7/ <br />ICONTACT FOR PERMIT T— � PHONE <br />I��N /P�e,�l a/e /c�Ny J 67TE.Gs 9Lo� 6S'L-7s9/ <br />CONTRACTOR ADDRESS � � CITYIZIP PHONE <br />RO.SE �Oly(E8� �NG //7Bi �.�3.C�'Nd ��Q.� I{/lA�l`1✓r'/�� y'6Z7/ sLo-LSl-7SY/ <br />CONTR. LICENSE M <br />RASE Nz � o��dZ <br />USE OF BUILDING � HEAT SOURCE I CUNTRACT PR�CE OF WORK <br />S• F� R• Elec�rir � Gas _ Olhor <br />WORK DESCRIPTION <br />�oNsTRucr;o�v OF SlN� /� F: `,vr; ty ,Q�,�D�Nc� l PLAH C) fi �sls,c #.22,2 <br />TYPE OF FIIfTURE OR ITEM <br />Toilot <br />Balhlub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clolhos washer <br />Waler healor <br />Sink (service/badmop/elc.) <br />Backllow provon�r.r <br />Urinal <br />Drinking Founlain <br />Flooi drain <br />Grease Irap <br />Rool drains <br />Clhor <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air syslams <br />Gas pipinp <br />Walon c�ater <br />Gas tiroplaco <br />Gas ranfle <br />Clothes dryer <br />Ranc�afrood <br />Exhausl fan <br />Hr.at pump <br />Unit healor <br />Boilar <br />Rofri�eration <br />Woodslo•:e <br />Glhor <br />CITY OF EVERETf LOCAL SALES TAX CODE IS J105 <br />I heroby cerilify that I have road and examined Ihis apphcation ann know the same to be Ime and correcL AI� provisions ol laws and <br />ordinaces 9oveminc� this lype of work will bo compliod with wholhor spocifiod herein or nol. Tho granling of a pormi� does nol presume <br />�o givo aulhoriry lo viola�e or cancol Ihe provision o� any olher state or local law ragulating conslruction or the peAormance ot <br />conslruction. That I am aulhorized by Iho owner ol lhfs propeity to perlorm the work for which application is made and I comply with ihe <br />Stato Coniractors Law 1fS.27 RCW and 29�.200 WAC. <br />/0�//.06 <br />I ' <br />