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F�RMIT APPLI�ATIVN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR S'fREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-2F7-8857 - wa�v.everettwa.org <br />G� ::�� (� � � t(� t�APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />SITE ADDRCSS PARCEL TAX I.D. # <br />28aS iB On 30 3�00 <br />tYT <br />DESC. <br />BLOCI< I TRACT <br />KosE FIoMES .INa 117e G MARi NE DA <br />iENANT NAME CONTACT FOR PERMIT <br />�nr �PEot/� <br />CONiRACTOR ROSB Fi�MEJ� �NC. <br />CONTR. UCENSE p R�,F �� z w o y2 Jz <br />USE OF BUILDING <br />S.F�R• <br />WORK DESCRIPTION <br />ADDRESS // <br />a�.tv� <br />-{, •.. y ' �, � , �,. �_ <br />EATSOURCE <br />C-lor.iric ✓ Gas Olhor <br />9 <br />��i9_o7 <br />Pc� (�io — �, 9 <br />P MIT M <br />�u�c-�� <br />PHONE <br />3Go- (os'Z-7�f/ <br />PHONE <br />3�o.-ldsz- ��i <br />CITY2IP PHONE <br />�G(qi[yS ✓ / //L <br />-l"��� 982�/ <br />CONTRACT PRICE OF WORK <br />CONJT/CatGTi G�/ pF S/N9�E FAM� �Y i2tr'SiOENCE � P1A,V A� �n,i%c �2/B <br />NO. I TYPE OF FI%TURE OR ITEM <br />�_ Toilc�t <br />�Dathlub <br />Lavalory (wash basin) <br />1 Showor <br />1_ Kilchen sink 8 dis�wsal <br />1 Dishwash�r <br />1 Clothes washer <br />3_ Watur healr,r <br />Sink (servicelbarimop!elc.) <br />_ �ackflow prevenl�r <br />Urinal <br />Ddnkinc� Founlain <br />� Ploor drain <br />�- Greaso trap <br />�_ Rool drains <br />Olhcr <br />NO. I TYPE OF FI%TURE OR ITEM <br />� A/C - air handling units <br />_j_ Forced air systoms <br />�_ Gas piping . ' f " <br />__(__ Walor hoalor �,.�t <<-� G d O - <br />— ca5 r�o��aco <br />�� Gas rango <br />_f_ Clothos dryar <br />Range hood <br />Exhaustlan <br />-- Heal pump <br />Unit healor <br />Boiler <br />— Ro(rigera�ion <br />Woodslove <br />Olhor <br />CITY OF EVERF.TT LOCAL SALES TNf CODE IS 3705 <br />I hereby cerilily Ihal I have read and examined Ihis applicalion and know Ihe same b be true and correct. All provislons of law, and <br />ordinaces c�overning lhis type ol work will bo complied wilh whe�hor speciliod hnroin or noL Tho granling of a pormit does not presume <br />lo give aulhority to violato or cancel lhe provision ol any other state or local law r�gulating construction or Ihe peRormance of <br />consiruction. That I am aulhorizod by iho owner ot ihis property to porform lhe work lor which appllcation Is mado and I comply with the <br />Stalo Conlraclors Law tE3.27 RCW and 29G.200 WAC. <br />�,y h[. ,Qt�eN lo-U-DL (I <br />Signature ot OwnedConlrack��rAulhorized Agent Date "z, <br />