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SITE ADDRESS <br />I 519 I'.�2 �n <br />DESC <br />PErtMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />42 ;-257-8810 — FAX 425-257-8857 — wwtiv.evPreltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />^ PARCEL TAX I.D. # <br />�l'sl= 2ao��3o• ooy.��d�l•oo <br />I BLOCK I TRACT <br />�irc.�,� �n �, �.�� (s9t� Nr 49� S-f y��r�rn�o <br />TENANTNAME <br />P�1 w�tt+nt�si v wt <br />CONTRACI'1R S �r pc�� <br />aF wws�l�uM� <br />CONTR. LICENSE fl �D n���,ti�' � �� <br />USE OF BUILDING <br />WORK DESCRIPTION <br />�iT-�G <br />NO. I TYPE OF FI%TURE OR ITEM <br />Toilol <br />Balhtub <br />Lavalory (wash ba�in) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwaaher <br />Clothes washcr <br />Watar healer <br />Sink (scrvicc/borhnop;etr,.) <br />Bar.kflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grcase Imp <br />Roof drains <br />Othr.r <br /># <br />425 ��o�'S•32o'7 <br />CONTACT FOR PERMIT PHONE <br />Gl-�R.�s G �.e 2�•26a•9�2Z- <br />ADDRE55 ��✓� .`� CI IZIP �HONE�2 �� <br />z3-r�►�r �.� �u�J -, 5 <br />G�P le(2o�6 t� �''�w �19065 <br />HEa.TSOURCE <br />_ Eirclric _ Gas <br />CONTRACT PRICE OF WnRK <br />Other � � � � C � <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — air hanAling unils <br />Forced air systems <br />Gas pipinc� <br />Waler heater <br />Gas lirepl�co <br />Gas rango <br />Clnlhes dryer <br />Range hood <br />Exhaust lan <br />Hcal pump <br />Unil healer <br />Boiler <br />Rolric�cra�ion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TNC CODE IS 3705 <br />I hereby cerility that 1 havo read and e,camined ihis apphcation and know �he same lo be irae and correcL All provisions ul laws and <br />ordinaces �overning this typo ol work will bo wmplied with whelhor spocified herein or not. The c�rantinc� of a permil does no� presumo <br />lo give authori�y to violale or cancel Iha pruvision ol any other slato or local law regulating consWction �r the peAormanco of <br />wnslrudion. That I am aulhorized by Iho owner of this property to perlorm tho work (or which application is mado and I comply with lha <br />Stato Conlraclors Law 18.27 RCW and 2�36.20D WAC. <br />Signalure of OwnedContraclor/Aulhorized Agent Dato <br />