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�__ <br />6�TE ADDRESS <br />l0T NO. <br />DESC <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257•8810 - FAX 425-257-8857 - www everettwa org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO � PM <br />PARCEL 7A% I.D. N <br />BLOCK I TRACT OR SUBDIVISION 1 <br />7• � � �.((� <br />PE RMIT N , <br />� � (�, J <br />�,.; � J /�. <br />E�IEP�ir Ncchi� ��bR� Z��S 1s.��"'��. �il�w,►�'20► 'h2� s�a 112t <br />TENANTNAME I CONTACTFORPERMIT PHONE�'LC) ZG)9 �C��p <br />Gr�Wr� e.�HfT�TS - <br />C�IL `�1A%� E-M�IL���j�.,CN,%O�.t.1C.T <br />-.�— - -----�b6f�� Y`I NONE <br />CONTR LICENSE / <br />USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />��UU1� GCA1�T�,�/ <br />C4lo D �Flecinc _ Gas _ Olhei <br />WO ESCRIPTION <br />Pt�-IEVIE� �oww��'��'t� �'E41'n5�- 'F-c�.b�[At1a.��/1pD��ld� <br />NO. I � n'PE OF FIXTURE OR ITEM <br />foda{ <br />Be�Mub <br />La�alory (wash basm) <br />Shower <br />Kimhen smk 6 Jisposal <br />D�shwesher <br />Ciothes wasnei <br />Wetei heata� <br />Sink (sernc.eroanmopieic � <br />pacl�0ow preventer � <br />Urinel � <br />Dnnkmg Founlain ; <br />ROor drain �� <br />Greese Irav � <br />Ronl tlrnlns ; <br />Other _ i <br />NO. I . TVPE OF FI%TURE OR ITEM <br />A!C -�an hantli�ng units <br />Forced eir syslems <br />G9s piping <br />Water healer <br />Gd5 �VCPIBGP. <br />Gas range <br />Clothes drye� <br />Rnnpe hood <br />Ezheull lan <br />Henlpump <br />Uni! heater <br />Fi6Aer <br />Reingeration <br />Waitlelove <br />CITV OF EVERETT LOCAL SALES TAX CODE IS ]105 <br />I hereby cerlAy Ihal I have iead and ezam�ne0lh�s apVl�cal�nn entl know the same to be Irue end correcl All prov�sions ol laws end <br />ordinences governing this type ol work will be comphed wilh whether specified herein or not The grnnting of e pertnil tloec nol presume <br />to give eidhonty to violete o� cancal Ihe piov�siai ot eny othe� state er iocal lew regulaling constiuqion or Ihe perlormence of <br />construchon That I gm authorqed by the owner ol lhis DroDe�Y lo peAonn Ihe work tor which appliu+tion is made and I canply wilh Ihe <br />State Conlra�Yors Law 18 27 RCW and 296.20U WAC <br />/r+) c- . ' Z. `p . ��� <br />nalure ot OwnedCon rac or�Aulhonzed Agen1 ate �/ <br />Z <br />