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PEr�MIT APPLICATIOnI <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVFR�TT, lNA 9820� <br />425-257-8810 - FAX 425-257-8957 - www.everetlwa.org <br />APPLICATIONS ARE ACi:EPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS � <br />CJO(u /.�O I�� _.Sf� <br />JESC. � <br />OWNEn <br />PARCEI_ TAX I.D. N <br />LOT NO. I BLOCK I TRACT OR SUBDIV�SION Y <br />���le; ; � f� <br />TENANTNAME <br />01 /G�6 /:Zp�b <br />CONTACT FOR PERMIT <br />V/�Lc�/'�)/ <br />d9:fi:73�7t : • � � - <br />CONTR. LICENSE p C�(/��" � <br />USE OF BUIIDING <br />WORK DESCRIPTION <br />��1�-� <br />PF�RMIT p <br />, n., <br />PHONE � 4:�) '3'�''l��li <br />F_ �v��ic'�l ,����r 9<<��,,y <br />�ii�<41s)�y3-S3�s <br />—_ � <br />E-MAII. <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />i Elec�ric: _ _ Gas � Olher <br />� ,', [, ( ,� � � �j�'� ' S �'i.!/ n �_ <br />NO. I TYPE OF FI%iUR[ CH ITEM <br />foilel <br />--- Dathtub <br />Lavatory (wash b:isin) <br />�_ Showm <br />_ Kilchen sink 8 disposal <br />Dishwasher <br />Cbthes washcr <br />Walen c�a�er <br />Sink (servir,eN2rlmoµ!rtc.) <br />�ackflo�v preventer <br />Urinal <br />Drin4ing Fountain <br />Roor drain <br />Graasetmp <br />Rool drains <br />Othcr -- – — -.. _ _ . .__ <br />N0. <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />NC -- air handling units <br />Forced air syslems <br />Gas piping <br />Waler healer <br />Gas �iraplac� <br />Gas range <br />Clothes dryer <br />Ranc�c hood <br />Exhausl tan <br />Hcat pump <br />Unit hcatur <br />�oilcr <br />Relriger3tion <br />Woodslovo <br />Other _ _ <br />CITV OF EVERETT LOCAL SALES TAX CODE IS 7705 <br />I heroby cerilily thal I have read and examineA this applicalion and know iho samo to bo true and correct. All provisions of laws and <br />ordinaces goveming ihis type ol �vorV, will be complied wilh whether specilied herein or no�. The c�ranling of a permit does not presumn <br />lo yive authorily to violale or cancel Ihe pmvision ol any olher slate or local law tegulaCnc� construclion or iho pedormance of <br />construclion. Thal I am aulhorirod by Ihe uwner ol Ihis property to pcAorm �he work lor which applicaUon is made and i comply with lho <br />S�ale Conlraclors Law 1H27 RCW an� [96.200 WAC. <br />v <br />/ ^ <br />�` . : � �- /a' .,2 9 O 7 <br />Sipn:ilun, of fJrr� .r/Cnnhnctori�ullwna�d Ayenl Dalo <br />IIZ <br />�3 <br />