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F'ERMIT APPLICATIOPJ <br />CITY OF EVERETi PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDkESS <br />(c�' ����' �r J � <br />LEGAL LOTIID. BLOCK <br />DESC. <br />OWNER <br />' K qNE /i <br />.� L S,'F. <br />TENANT NAME <br />'�/}MF <br />�bAfiiA <br />'� kINQZ <br />CONTR. LICENSE ll <br />USE OF BUILDING ��NC�CC <br />{� -y t�c-N c� / F,�•,,�y <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVI�ION p <br />ADDRESS <br />�,� � h s�S'� �J f= <br />CONTACTFORPERMIT <br />� A r-� c" <br />HEATSOURCE <br />� Eleclric _ Gas _ Olhor <br />PHONE <br /># <br />- 7/U ��`1G <br />.���: 35H--��3'i <br />CONTRACT PRICE OF WORK <br />WORKDESCRIPTION ' � �cx'f S%Y�'�=��-���'' 'C L'i�'tJL'L <br />'G � `� / /L�.l�/.� y � 1r�J N E W / i -i d� �,� ,E • . <br />f;tT.)�lc[:>> �� j'.✓I7Jf i11�> LX?�iJ //j7ccw�� /�/Et✓ <br />/i'`G/'�7/�✓L• d.v�% <br />/ ,�uE%�� './G�.vC�. <br />//J/�' /� .J y � . .��LY�i!✓L .;rNti %1L% �Li�=G � �+►�`''`{i _ <br />_. ...._...,. MFCHANICAL <br />NO. I TVPE OF FIXTURE OR ITEM <br />Toilr.l <br />�_ Ba11�Wb <br />Lavalory (wash t>asin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />� Clnlhes washer <br />Wa'an c�aler <br />Sink (scrvic:e/bar/mo�iietr..) <br />Back(low prr.vrNer <br />Urinal <br />Drinkiny Foun�ain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Othar ---- ---.- .-- <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C - air handliny units <br />_ Foiced air systems <br />_ Gas piping <br />Watar heater <br />Gas fireplace <br />Gas iange <br />� Clothes dryer <br />Rango hood <br />Exh2ustfan <br />� Heal pump <br />_j_ Unil healer <br />Boiler <br />Retrigeratlon <br />Woodstove <br />Othcr <br />CITV OF EVERETT IOCAL SALES TA7( CODE IS 3105 <br />I heroby corilify Ihat I have reaA and examined this application and know Ihe same lo be true and correct. A�I provisio�s oi laws and <br />oidinaces yoverning this type o� work will be r.omplied wilh wholher specified herein or noL The granting of a permil does not prosame <br />lo give aulhorily lo violalo or cancol tho provision of any other slalo or local law regulating conslruction or the peAormance ot <br />conslruclion. That 1 am authorized 6y lhe ownar of lhis property to peAorm Ihe work for which application Is mado and I comply with ihe <br />Stalr. Conlraclors Law 18.27 RCW and 296.20D WAC. <br />, � ��0� <br />Siyn ure o( OwnedContractorlAuthonzed Agent ��e („ <br />/� <br />