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P <br />P�IMIT APPLICATIOt� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT,'NA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADORESS PARCEL TAX I.D. # PERMIT M � <br />GlS II�.iN S1 S� � n -�4���19oo3��t �vo , 60406 -c?� <br />LOT N0. I BLOCK I TRAC� <br />CITY2IP PHONE <br />f�t'., Ry.tx���c -.lk ��IS?L� c�Llss 1� lv' S�m� yg�33 (������-6860 <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />CKD � �SC4+J(� C�{�`� , �UN�� C�{�S) 38� —1 �ci�, <br />CONTRACTOR ADORESS CITY2IP PHONE <br />�"CN�NT <br />CONTR. LICENSE N <br />USF OF BUILDING <br />7:Fs-FG,u� <br />6l� �rrrs� ST S�: �D ��-n �� c�y�s)3��1 <br />HEAT$OURCE CONTRACT PR�CE OF WORK <br />/ � <br />_ ElecMc Y Gas _ Other ,�' , Q�) n� <br />WORK DESCRIPTION <br />I f�ST�+�� g` �..�on�tT f�x =��i <br />14' H1��{ �M GRctn�l�. <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (sernce/bar/mop/etc.) <br />BackAaw preventer <br />Urinal <br />Drinking Founlain <br />Floar drain <br />Grease lrap <br />Roof drams <br />Olher <br />RT ;ToR�. FR[�lT ��ALL <br />MECHANICAL <br />N0. I TYPd OF FIXTURE OR ITEM <br />A/C — alr handling units <br />Forced air systems <br />Gas piping <br />Water henter <br />Gas fireplace <br />Gas range <br />Cbthes dryer <br />Rangehood <br />Exhaustfan <br />Heat pump <br />Unil heater <br />Boiler <br />Refngeration <br />Woodstove <br />CI7Y OF EVERETi LOCAL SALES TAX COUE IS 7105 <br />I hereby ceritih� that I have read and examined this application and know the same lo be trun and correct. All provisions of laws an9 <br />orninaces goveming this rype of work will be complied wdh whether specified herein or nol The granting of a permit does not presume <br />lo grve authonty to violate or cancel the provision of any other state or Iccal law regulating construction or the peAormance of <br />construction. That I am authenzed by the owner of this property to peAorm the work tor which application is made and I comply with the <br />State Cantractors Law 18.2J-RC1y and �96:200 WAC. ; <br />�?�� �� <br />�� ' <br />