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i <br />PtRMIT APPLICATION <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 />APPLICATIONS AFtE ACCEPTED FROM' 'M T04 PM '� `�C�"�, <br />SITE ADDRESS /� PARCEL TAl( I.D. p ERMIT # <br />Gay 95'='L"u✓,zT.s,� ZSos'/Boo3n3'f�oo ��%i)��'-�`/� <br />L97 N0. I BLOCK I TRACT <br />(,�/✓%r �' Z/ <br />�os� l�nfa,r-s; �Nr. ��. � Mf�,e; ni� �r,vt <br />TENANT NAME I CUNTACT FOR PERMIT <br />CONTRACTOR �j,S'C. <br />I��/✓ �z"fl��%J�� � <br />ADDRESS SI¢M� <br />�ESL- 7s�j <br />PHONE <br />36a -Lsz- 7� % <br />CITYIZIP PHONE <br />CONTR. LICENSE N * <br />—�s E ��,.� o �z Jy <br />USE OF BUILDING I HEAT SOURCE CONTRO.CT PRICE OF WORK <br />s �". Q _ E!actdc �Gas _ Olher <br />WORK DESCRIPT�ON <br />�,�✓Si/7C:rr.n., c�< ,�,�i�7�iJ f'' .i!/.� d�G3�OlntE ( ��S/C �rzivJ <br />NO. I TYPE OF ��XTURE OR ITEM <br />Toilol <br />BalhWb <br />Lavalory (wash basin) <br />Showor <br />Kitchen sink 8 disposal <br />Dishwashor <br />Clalhes washcr <br />Walcn c�alor <br />Sinh (sorvir.e/barhnaplcic.) <br />Backllow prevr.Nr.r <br />Urinal <br />Drinkin� �ounlain <br />Floor drain <br />Grease tr�p <br />Rool drains <br />Other _ <br />NO. I TY'E OF FIXTURE OR ITEM <br />�^ A/C - alr handling unils <br />_ ( _ Forced air sysloms <br />� Gas p�ping <br />� Wator hoaler <br />Gas firoplaca <br />� Gas ranya <br />� Clothos dryar <br />�Ran�e hood <br />ExhausUan <br />---- lical pump <br />Uni� hoalor <br />�--� Bollor <br />Refriqeralion <br />Woodstove <br />CITY OF EVERETf LOCAL SALEo TAl( CODE IS J105 <br />I hereby r,orilily Ihat I havo raad and oxaminod Ihis applicalion and know Iho seme b be We and correct. Ail provislons ol laws and <br />ordinaces �ovominc� this �ype ol work will bo compliod wilh whalher specilied horain or not. The granting of a permit does not presume <br />to fliva authority lo vio�ato or cancct tho provision of any olher slale or local I�iw reflulalin� construc0on or Ihe perloimance of <br />construclion. That I am authorizod by lho ownor ol lhis property to poAorm lhe work lor which application is made and 1 wmply wfth the <br />Slalo Conlractors Law 1027 RCIN�nd 296.200 WAC. <br />