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PERMIT APPLICATION <br />CIl'Y OF EVERETT PERMIT SERVICES <br />3200 G[DAR STREET, EVERETT, WA 98201 <br />, 425-257-&810 - FA,r 425-257-8857 - www.everethva.orq <br />SITE ADDRESS <br />1�51gC I� <br />I[GAL LOTNO. <br />APPLICATIONS ARE ACCEPTED fROM 8 AM TO 4 PM <br />PARCEL TAl( I.D. p <br />ST, S.E. <br />BLOCK TAACIURSUBDIVISIONM <br />� <br />�� _ <br />. <br />. • <br />OWNEH AOORE55 [:111'�nY Ynunt/2L �e�•C'u <br />��g E�l.IoTT 4(oG`� 225(�, AU6 5� SAMMAN{tsu, T� �'' TL <br />/ / wA g�1�_ <br />TENANT NAMt CONTACT FOR PERMIT PMONE�ZG Z8� - S� 92 <br />QosTialr Qnn�,c + Ro8 EU. bTT � <br />�� ---��bn�s— —�,fv; <br />e-Ma� ('b olln�o n+Sn,G <br />CONTR. LICENSE N <br />USE OF BUILDING <br />��?AI L <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />Hr.clnc Gas Othci �—�j-��" <br />WORKDESCRIPTION T�QUI IWiPRoVEMF.I'�T� F�}.IISI-jFiS� F�ICTU�ES � <br />MiProCL �l.�Tr2�c�L MoOt�iGc�( toU ,��`\ <br />-, . �') <br />� . � E�IY,i 1 L9G7� �Gni ✓i✓lt7�j �� .�LY'.i� ��cKY11L l_' -f"CCi�`y*Z: 1 <br />�- / <br />PLUMBING � MECHANICAL , <br />NO. I TVPF. OF Fl%TUHE OR ITEM NO. I TYPE OF FIXTURE OH ITEM i <br />Todet <br />021htub <br />� _ _ Lavatory (wash basin) <br />Showcr <br />Kitchen sink 8 dis{wsal <br />� Dishwashci <br />Clothes washcr <br />Ciatcr he�tcr <br />Sink (sc�vicabarYnopr.tc � <br />8ackllow preventer <br />Urii �al <br />Drinking Fountain <br />Roor drain <br />Grcase trap <br />Rool drains <br />O�hr,r <br />A'C - air handling umis <br />Forr.ed a�r systems <br />Gas piping <br />W �Im hcater <br />Gas fucplacc <br />Gas range <br />Clothes dryer <br />Rangehood <br />E■haustfan <br />Hca� pump <br />Unit hcater <br />ooi�cr <br />Rclrigcra�ion <br />WooAstove <br />CITV OF EVERETi ! OCAL SALES TAX CODE IS J105 <br />� I hereby ceritdy Ihal I have mad and e■amined Ihis applica�ion and know Ihe same to be Irue and correcL All provlsions ol laws and <br />�, urdinaces qovcrning tliis �ypc of work will bc complied with whclhcr s�ecificd hcrcin or not. 1he granting ol a permil docs not presumc <br />to give aNlwnty �o wol�te or cancel �he prwision ol any other ,ta�e or local law regulating constmction or the perlormance of , <br />, cnnsduchoo. Thal I;im authorized by Ihe owner nl Ihis propeny to pertorm Ihe work loi which applica'ion is made and I comply with ihe ', <br />Slate Conhattors Law 182' RCW and 296 200 W�C. �� <br />�, �-ZZ-O� <br />I� Sipnaium ol wncr�Contractor'�d Agen� Date �/ <br />L <br />; --- ---- <br />�m <br />