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I� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />.i200 CEDAR STREET, EVERETT, WA 98201 <br />425-2 i7-8910 - FAX 425-257-8857 - www.everetiwa.org ,, <br />� i` �. l. � � ,� I i. <br />APPLICATIONS ARE ACCEPTED ��ROM 8 AM TO 4 PM - DEBIT 3 CREDIT CARDS ARE NOT ACCEPTED <br />LEGAL LOT NU. <br />DESC <br />owN�R <br />�����n `�D <br />TENANTNAME <br />1-1�d� <br />IDI`L� <br />PARCEI TA% I.D. N <br />DyKGIvDl)I/�I �, <br />' � �t,e.!!,��� C� � <br />35 CITYl21 <br />n�,Jr�1s-y`1..3 c�vuc <br />:T OR PERtM�IT <br />� .. U . ���` -% <br />CO TR CTOR AODRESS <br />�-r�; san �VoMe�.�n�. �arne �5 owne� <br />CONTR.LICENSER I��``ISITYCIb�C.,,3 <br />USE OF BUILDING <br />WORK DESCRIPiION <br />'nQ.t,J �f�s�f �tC��� c�Vl <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />I ToAel <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen amk 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry Iray <br />Sink (service/bar/mop/etc ) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drsins <br />Olher <br />HEATSOURCE <br />_ Electric �Gas _ Other <br />NO. <br />� <br />cinaiv <br />P ljM1T / <br />�� ��i "�"J1 <br />1 <br />PHONE <br />igZ(� �Z5-ti3��a�q <br />PHONE <br />3�-�- � ' <br />PHONE <br />u��N3�-�ar,4 <br />CONTRACT PRICE OF WORK <br />�5��— �- �� . <br />'1 <br />TYPE OF FIXiIIRE OR ITEM <br />nrc — av nanaong units <br />Forced air systems <br />Gas piping <br />Watei hea,.r <br />Gas Brepiace <br />Gas range <br />Clothes dryer <br />Range hood <br />Ezhaust fan <br />Neat pump <br />Uni� healer <br />Boiler <br />Reingeration <br />Woodsrom <br />Olher <br />CI7Y OF EVERETT LOCAL SALE9 TAX COOE IS J106 <br />I hereby cerildy thal I have read and examinetl th�s applicahon end know the same to be hue and correcL All provisions ol laws end <br />ord�naces qoveming Ihis type of work wdl be comphed wdh whalher epecified herein oi not. The granUng ol a permit dces nol oresume <br />to gwe aulhonty lo violate or cancel fhe provision of any other stale or local law regulaBng canstrucbon or the performance of <br />constmclion Thal I am aulhorized by the owner of Ihls property lo perlorm the work for which application is made and I comply wilh the <br />State Contiactprs Law y8 27 RCyV and 296 2p0 }MAC , i <br />