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, -- <br />P�RMIT APPLICATIC�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evereltwa.org <br />SITE AD�RESS /, <br />G i Z l/,5 r� G <br />LEGAL !•M N0. <br />DESC. uAl�r �� <br />OWNER <br />KGSc. t/C7NjE9 <br />TENANTNAME <br />CONTRACTOR <br />CONTR. LICENSE M <br />USE OF BUILDING <br />APPLICATIONS ARt ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. p <br />,rr ,f.E. Zfjt�S/800303S�oo <br />BLOCK TRACT <br />AODRESS ciTrrzir 9 yj�� <br />�v�. //7vL /�N�r:.eG' �P. �NNyfd;//L <br />C'ONTACT FOR PERMIT <br />flE,� �c-c.v �l/o ,�/Ny ,f'G77�`.� <br />�-\q- <br />PERMIT A <br />° ��a -�� �! � <br />3 G � - 4rz- �ss <br />PHONE <br />3s. - �sz-- 7sr� <br />1�;' /-/oN/C1. /Nf� ADDRESS ,5j4�y,6 CITY2IP PHONE <br />�C-�L� /+� I �O SiL �% Z <br />WORK DESCRIPTION <br />HEAT SOURCE <br />_ [I�clric _ Gas <br />Olhar <br />36a - L S Z' 7-3'� <br />CONTRACT PRICE OF WORK <br />L'WVSi?Clfi�'ri.. p% ��'hy�C �/lw�h��/ �k'v3/-' (.6NSiti'��/i�/ <br />NO. I TYPE OF FIXTURE OR ITEM <br />3 Toile� <br />y �athWb <br />� Lavatory (�vash basin) <br />_�_ Showor <br />. L Kilchen sink 8 dis{wsa� <br />/ Dishwasher <br />/ Cbthes washcr <br />/ Watc� henter <br />Slnk (servicel6nrlmup!etr..) <br />— �ackflow preveNer <br />Urinal <br />— Drinkin� Fowriain <br />Floor drain <br />— Greasolrap <br />� Roo( drains <br />— Othor <br />NO. I TYPE OF FIXTURE OR 11EM <br />rvc - au nanaung unns <br />� Forcod air systems <br />� Gas piping <br />_/ Waterhaator <br />� Gasfiroplaca <br />�_ Gas rango <br />�_ Clothes dryer <br />� Range hood <br />b' Ezhaustfan <br />= Hoat pump <br />Unil hoator <br />— Boilor <br />� Ro�rigoralion <br />= Woodstovo <br />= Olhor <br />CITY OF EVERETT L6CAL SALES TA% CODE IS J10S <br />I homby cerilily Ihal I h.rve read anA r.xamined U�is application and know Ihe same to be true and conecl. All provisions o( laws and <br />ordinacr.s 3oveminc� Ihis type of work will bo complied with wholhor spor.iliod horoin or not. The granting of a permit doos nol presume <br />to give authorily lo violate or cancel the provision o� any other stale or local law rogula�ing consWcllon or the performance ol <br />conslruction. Thal I am aitlhorized by tlm ownor ol ihls property lo perform the work lor which appllcali�n Is made and I comply wfth the <br />Stale Conlracturs Law 1.27 RCW and 296.200 WAC. <br />_ ��r N� �c-c�/ �/r► o� <br />