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FcRMIT APPLICATIUN <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 8 AM TO 4 PM <br />SITE ADDRESS <br />�,'ll i �B�i ; ; s�. <br />L[GAL LOT NO. <br />M��i���l � r'�uulc <br />TENANTNAME <br />�sn,��r as o��at, <br />CONTRACTOR �^� ., <br />CONTR. LICENSE M �,��/, <br />USE OF P�1ILDING <br />f'r�;,,�u,� R�S�aFnc�e. iSF�2i <br />WORK DESCRIPTION <br />��,�v�.�N,� �,s+��,� �iaw� <br />i�IC ��,` ���a/ �� ��{ s��(r'; 1Cr' <br />PLUMBING <br />NO. TVPE OF FI%7URE OR I1EM <br />_ _� _ Toilol <br />Balhtub <br />j_ __ Lavalory (wash basin) <br />% snowcr <br />Ki�chen sink 8 Alsposal <br />DishwashAr <br />Clothes washer <br />_. _ Laundry tray <br />_ Sink (servicelbar/mop/elc.) <br />Back�bw prevonler <br />Urinal <br />D�inking FouNain <br />Floor draln <br />Greaset�ap <br />- Rool drains <br />Olher <br />PARCEL TAX I.D. p <br />00�9� yonor� 4 <br />24i; 9d�n� Si sr L�v��,�.N <br />CONTACTFOR PERMIT <br />' �„�,� �s cw����� «ei <br />ADDRESS ��A � Q i � �� \ CITV2IP <br />% <br />HEATSOURCE <br />ZC Eloctrir. _ Gas _ _ Olhor <br />ERMIT # <br />-%L.f-'�C� ���%� <br />PHONE <br />9�Zc�8 (4Zs�3�9-5�1 <br />PHONE <br />(yzr) �r � ,� �5 - <br />PHONE <br />CONTRACT PRICE OF WORK <br />�._,�;�1 � <br />s�1GCi �n�' liv[nW� qNn��i�/7 Q!(�5i�ri -%�['-*� <br />NO. <br />MECHANICAL <br />TVPE OF FIXTURE OR ITEM <br />A/C — ai� handliny unils <br />Forced air systems <br />_ Gas piping <br />Wator healer <br />Gas firoplace <br />Gas range <br />Cblhes dryer <br />Range hood <br />� Ezhaust lan <br />Hoal pump <br />� Uni� healer <br />_ Bailer <br />Refrigeration <br />-- W�odslove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />I hereby r.eritity thal I have read and Examined ihis applicelion anA know the same lo be lrue and correcl. All provisions of laws and <br />ordinnr,es goveming �his lype of work will be complied with whelher specifiod herein or nol The granting of a permil does not presume <br />to �ive aulhonry �o viqlsle or cancel �he provision of any o�her slale or local law regWaling construcllon or lhe pertormance ol <br />r,onslrur,tion. Th�t I em authorized �y the owner ol this property to peAorm the work tor which applicatlon is made and 1 comply with lhe <br />Stale f.ontractors Law iB27 RCW and 296.700 WAC. <br />�ll«f�;r< � j� �! sc��% 10 li Ol <br />Signature o OwnedConlraci Aulhoiized Agent ate ', ' <br />Z <br />