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PE�MIT APPLICATION <br />CITY OF EVERETT PERMfT SERVICES <br />3?.00 CEDAR STREET, EVERETT. WA 90201 <br />425-257-8810 - FAR 425-257-8f 57 - wwvi.everettwa.org <br />APPLICATIONS AP.E ACCEPTF ) 1=ROM 8 AM TO 4 PM <br />SITE AODRESS <br />, - ,;�, i <br />� <br />LEGAL LOT NO. BLOCK <br />UESG -- __ <br />OWNE <br />Nu�lr't�r0� L-k� � <br />TENANTNAME <br />CONTRACTOR �,StON! � <br />GOA+rut�e-� L G <br />CONTR. LICENSE b <br />�R�T��vgY±�Z--- <br />USE OF BUILDING <br />WORK DESCRIPTION <br />�; ,� y � ��.v� , �yo <br />f!G7 <br />� <br />PLUMBING <br />TVPE OF FIXTU7E OR ITEM <br />Tuilet <br />�:i1�1�U�) <br />Lav�lory (we:sh basln) <br />Showr!r <br />Kllchen sink 8 �.fisposal <br />Dishwasher <br />Clolhes washcr <br />Wa��an c�ator <br />Sink (servicolbar/mop/elr..� <br />Ciackllow p�ovanlnr <br />UfIf1A� <br />Drinkinq 1"ounlain <br />Floor Arain <br />Grease Irap <br />F.00l drains <br />Olhrr <br />PARCEL. TAX I.D. # PERMIT p I <br />ao -?Go 1�9 z �' 7'>/ -/ _ � <br />�A T. � y � I <br />� /--_ — <br />J32s <br />FOR <br />Glf]]:13'I,'J <br />y�ls/ 36a-ib�- <br />PHONE <br />y2f =33� -y�SS' <br />CITV/21P PNONE <br />IY r�, �i 2t�3o �n��oM.�.,I.J.� �925� 7Go-66t-83�6 <br />I HEAT SOURCE I CONTRACT PRICE OF WORK <br />_ [Icdric � Gns _ _ Olhcr I � � S k <br />���r � ��� <br />, i ;%� <br />� MECHANICAL <br />NO. I TYPE OF FIxT11RE OR ITEM <br />h�C - air 6e�.Jlin� unils <br />Fnrcod air systoms <br />Gas piping <br />W ntor hoator <br />Gas lirepl;ace <br />Gas ro�ga <br />Clothes dryer <br />Rdnyo ioud <br />Exhav;t lan <br />Hoat ,mmp <br />Ufll� hBB�ef <br />BOI�E!f <br />Ralrigora�ion <br />Woodslovo <br />Olher <br />CITY OF EVERETT LOCAL SALES TA)( CODE IS 3105 <br />I herel�y cerilify Ihat I havo read and r�amined Ihis applica�ion and know ihe same lu bo Irue and mrrect. All provlsions of laws and <br />ordinaces Eiovc�minn this type ol work wili be compliad wilh whother specihed herein or not. The granting of a permll does nol presume <br />�n �ive dt'•-iIy �o violab or canc�l lho �r vibiort ol any olhor slale or local law reyulating construclion or lhe perlormanca ol <br />r.onstr i tu 1 h� �in �o uwner ol Ihis properl}� tn pe�orm the work for which applicalion is mede and 1 comply wilh Ihe <br />S�a�n ' arto � t.H�v (' and 79fi200 WAC <br />(�ZZ •O�l <br />�ign iro ol wnonConirac u inzed Agenl Date i <br />