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SITE ADDRESS <br />z l Z�'��L_- <br />l'.GAL L�7T NO. <br />D�SC. <br />PERMIT APPLICATION <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 />Af'I'LICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCELTAXID.p <br />TRACT OR SUBDIVISION p <br />PERMIT # <br />,c,l�a-u <br />I-�21�.tiE 1.�:<<i�"� —-_---�IC`� �i�"_'.O!_St.----1 vvie_ 81�8 �TS'357�35�a!_ <br />� iCNANTNAMF CUNIACTFORP6NMIT PHONE <br />I <br />E�MAIL <br />i �bAiTiAL`Tb�— — A AtrrlE ' <br />O w n'tY-'. <br />CONTR. LICENSE p <br />USE Of BUILDING <br />WORK DESCRIPTION <br />HEATSOURCE <br />_ El�clric � Ga� _ Olhm <br />CONTRACT PRICE OF WORN <br />-� I ZoD = <br />nf �W rurHnG� W- �t$ �jF7�✓k � CYbS !-0+.�45iYL��e 'JrG?� AI iP«Ge 5 <br />! <br />PLUMBING —�- MECHANICAL <br />i0. TYPE OF FIXTURE OR ITEA1 <br />_ luilet <br />B,ilhtuh <br />Lavntory (Hash basin) <br />Showcr <br />Kii�hen sink R dispnsal <br />Dishwasher <br />Clolhes washr,r <br />Walor healer <br />_ Sinh (scrvicc/bar/mop/�lr,.) <br />�ackflow prevenler <br />Urinal <br />Drinkin9 Founlain <br />Floor drain <br />---- Grease Irap <br />Roul drains <br />Olher <br />NO I TYPE OF FI%TURE OR ITEM <br />� , C - air handling units <br />� _ Forced air systems <br />� Gas piping <br />_�_ Water hoater <br />_j_ Gas firoplaco <br />_f_ Gasrango <br />Clothes dr;er <br />Ranc�ehood <br />Exhausl(:�n <br />Hcat pump <br />Unil hcaler <br />Boilcr <br />Rr(rige �!:an <br />i'�GOdS10�� <br />�_ 011tef Ga-n�.re�-FW _ <br />I I I � <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />1 hereby c<�rili!y Ihat I h��e reaJ and ox,muned Ihis applicalion and know Ihe samo to bo Irue and correcL All provisions ol laws and <br />orAinacos �ovemin� �his lypu o� worA will be com���ied with wheUier speci(iud herein or nol. Tho granting ol a permit does nu� presume <br />lo givo aulhorily lo violale or canc�l the provision <( any other sta�e or local law rec�ulalinc� conslruclion or Uie perlormanco of <br />� cronstruclion. Thal I am authonzed by the owner ot Ihis property to perlorm Ihe work for which appliwtion is made and I comply wilh lho <br />iSl�la Conl�clurs Law 18.27 RCW :tnd 296.200 WAC. <br />�L.�tE lZ-/ ' � /�_ — <br />SignaY.rte nf tlwno�rar,todAu�honzed Aqenl � D�le <br />