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SITE AODRE55 <br />7 `1 � <br />l fCAI LOT N0. <br />ncsr, R1 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVI�',ES <br />32U0 CGDAR STR[Fi. EV[RFTT, W� 9820' <br />426-"l.Ci7-t1fi10 f �X 4'1.5-2Ci7-N8!i7 www everettwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />I PARCEL TA% I.O. 11 <br />BLOCK <br />TRACT <br />V�na��NE Cs�a�s <br />___�`22-0� <br />PERMIT Y <br />� i <br />l�� �� L �> ��,� <br />.1Asv� iCifAUM y�y 7y� r'[ Iw Lv�.u-i� 9L2a3 v2S•3fy,!G)i <br />TENANT NAME CONTAC7 FOR PFRMIT PHONF. <br />���t K L21�—l�G t= ( •-'oG 2�/ S 5/ 7/ <br />CONTRACTOR C�AS A���LIANGG ADDRE55 � CITYfYIP PHONE <br />�a'�I�/G✓yf— s�- s�.�4,9�io� 1oL•G32•Sa�� <br />CONTR UCENSEN <br />C� �Sr1 i�S 1�GiLSA _ _ <br />USE OF BUILDING ( NEAT SOURCE — CONTRACT PRICE OF WORK �, <br />[leclnc jCG;c: Olhcr �• <br />S/- �'rS/�J�-.VTi.¢L -- � 2�� _ <br />WORK DESCRIPTION <br />�NSr�« �'as <br />1Tj t-;,, �C.v. L� <br />Fuf'NAcE � GrIJ hfJT G✓AiSK 7N.�ic. q.V�1 (i9S P'. ��.✓(� <br />f�r t.qi2:c 7A,.i/c �1 S'6'�. <br />NO. I TYPE OF fl%Tl1Rf OR IT[M <br />Todet <br />A�thlub <br />� Lavalory (wash basin) <br />- Showur <br />Kitchen slnk 8 Aispus�l <br />Dishwash�r <br />Clolhes washcr <br />_ Laundry irny <br />Sink (service/badmoplolc. � <br />-_ Bachtlow pwv�nter <br />Unnal <br />__ _ Dnnking Fountam <br />Flc�r dr;fin <br />Gronse trap <br />Root drams <br />Olher <br />HO. <br />-�- <br />-�- <br />� <br />1YPE OF FI%TURE OR ITEM ' <br />A'G nrt hnnJhnq unds <br />foiceA air systcros <br />Gas pipmc� <br />Watcr hoator <br />Gas firepleca <br />GTs range <br />Clolhes dryor <br />Rangohood <br />Exh�us� lan <br />Haal pump <br />Und hcater <br />doilcr <br />Roingoralion <br />Woodslovo <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />I hereby cerildy thal I have read �nd oKnmined Ihis apphcalion and Fnow tho samo to be Irue and corteh. All provisions ol laws nnd <br />orAmeces govemmq Ihis typo ol work will be comph�d wilh whelhor spocdioA harein or nol. Tho granting ol a permit does nol p�esume <br />lo give aulhonty tu vmlate or cencel Ih� pmvision ol any olhor stnta or local law mgulating wnslruction or Iho pnrformance ul <br />conslruclion Thal I am ;futhonred by Ihe ownor oi �his property �o portorm Iha work lor whlch t�pphcahon is maAa nnd 1 comply wilh Ihe <br />Stale Conlnclors Low 11i 27 RCW wnd "19�i 200 WAC. <br />- - ^ "' . �. _ 2 OG _ <br />- -- — <br />.. ............... �........%�"��r.�.:, ,,,�— .,�„ <br />