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P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRFET, EVERETT, WA 98201 <br />425-257-8b10 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />�� �,� <br />i '% %'L-i1 "� �� ��- <br />�LEGAL LO1N0. BLOCK <br />UESC �7 <br />� - � `—_ _— _—_-___. <br />OWNER <br />r�..�(11.��:�fiZ:_�. ,J V c t,--+ <br />TENANTNAME <br />,1����� . S <br />� "�G' —�� <br />PARCEL TAX I.D. # PERMIT # ',. <br />� <br />� � <br />/�1-�C' �`k;";.��.v�'Y-L,I�, w .�L`� I <br />TRACT OR#SUB^D^IV'�SION^„ �� I <br />SP 14�-' 1Y I <br />ADDRE55 CITY2IP PHONE <br />� - <br />� � � �� y,-, � � � � S ,1.1 U ✓ l 1 � ,� �,..' A �i 2 1 2.3� - �� �� �'�j . <br />CONTACT FOR PERMI7 <br />1 ' CCiC� .�L���/�-I � �. <br />L G. t' . 1-I U l-� f. <br />CONTR. LICENSE ll <br />1..�.�:.'i� ��.���Li <br />USE OF BUILDING <br />� I- � z <br />WOFK DESCRIPTION � <br />N0. <br />PLUMBING <br />TYPf: Of FIXTURE OR ITEM <br />,S- Todel <br />� _ 3_ oau,w�, <br />� � lavatory (wash basin) <br />! Showcr <br />�� Kitchun sink 8 dispos;il <br />� Dishwasher <br />' _�_ Cblhes washer <br />' � Walen c�atcr <br />! Sink (servicclbadmopiMc.) <br />� __ �acV:llow prevr.nter <br />� Urinal <br />� Drinking Fountain <br />I_ Floor drain <br />Groase trap <br />I _ Rool drains — <br />Olhcr <br />�ness 1-�N � p` - `I l- ..� � �,..�� <br />., ... Gzi ��t �i��.���:.' <br />i✓_ lir✓C,/�> ��O <br />HEATSOURCE <br />_ Fleclric � Gas ___ Olher <br />SFi"Z , <br />PHONE_ <br />y1� �i;-5'�z—f, � <br />., �. <br />E-MAIL • •� ' � • � <br />—.—FT{S� � <br />�13� Z"�; u���, <br />, , I <br />I <br />CONTRACT PRICE OF WORK <br />�� � CJ C� V <br />- � -- -- <br />MECHANICAL <br />NO. TVP[ JF FIXTURE OR ITEM <br />A�'C � ,ur h, ndliny umis <br />1 Forced air systems <br />;� cas pip�ng <br />1 �Valcr hea�er <br />� Gas fireVlace <br />_( Gas ran�e <br />� Cloth�s dryer <br />� Range h�od <br />�_,s�, Exhaust'an <br />Heat pump <br />Unit hea�er <br />Boiler <br />Relric�eralion <br />Woodslove <br />Olher <br />CITY OF EVERETT LOCAL SALES TA% CODE IS ]105 <br />I hereby ceri�ily lhat I have read and examined Ihis application and kno�v Ihe same lo be true and correct. All provisions o( laws and <br />ordmaces governin9 lhis lype ol work will be complied wdh whelher specilied herein or noL The granling of a permit does nol presume <br />to give authorily to violale or cancel tha prov�.,wn ul any other slato or local la�v regul2tinc� consiruction or Ihe pertormanco 01 <br />construclion. That I am aulhorize:l by thr. ow er ol this property to perlonn pie work lor which applicalion is made and I comply wiUi Ihe <br />S�ate CvrilF,ictors . v 1827 RCW and 29 .200 WAC. <br />i <br />� � , � r�_.1-t � 2: o S . <br />�_ � . �; , <br />Siynature ol Owned ontrai IodA � 1 on .i�d !�, enl ���lc <br />� �Z <br />