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SITE ADDRESS '� �7� <br />�C�- � o <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />� 1( ��l n � TUn P <br />�-ERMIT APPLICATIt)N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STkEET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everethva.org <br />APPLICAT�ONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. p <br />]Gc� oo��ad000/Uonn <br />J`��— <br />iRACT OR SUBDIVISION k <br />�a—g—�IS <br />PERMIT Y <br />2_ <br />ADDRE53 � CITY/ZIP F'HONE <br />�S� � >cr �"t/�.c�7T 9�<'n, yzs�,�.s"a�,�9s <br />TENANT NAME CONTACT FOR PEfi�11T PHONE !��?J�.33G �Jy2,� <br />��, � • <br />'� P�r � - �i � /,�rcli � E-MAI LJZ/iJ,�i+iltl.�.�lc :r �E°/f�X <br />`.12�� ��IC�/ii./li.��� .7^�Kf//'�/15 •y%�':�� '�l�'/r/%v��� �(�"���7C1iJ�' �/�.���%.1�'-��i <br />CONTR. LICENSE # U Gl/ v�/ i S ��� Q/ <br />J <br />USE OF BUILDING <br />� <br />��jl c�t'i)C L <br />WORK DESCRIPTION <br />NO. I TYPE OF FIXTURE OR ITEM <br />ludr.l <br />Balhluli <br />Lavatory (wash basin) <br />Shower <br />Kilr.hen sinh 8 dispus;d <br />Dishwashcr <br />Clolhes washur <br />W:�ter healer <br />Sink (sorvin��barinwplotc.) <br />l3ackllow prev��nlcr <br />Urin�l <br />Drinking Pounlain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Othcr <br />HEATSOURC[ <br />_ Eleclric � Gas <br />Other <br />CONTRACT PRICC• OF WORK <br />i . . O' <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C - air handlin� units <br />Forr,ed �ilr sys�ems <br />Gas piping <br />W aler hoater <br />Gas lireplaco <br />Gas rango <br />Clothos dryer <br />Ran�a hood <br />Exhausllan <br />Haat pump <br />Unil heater <br />Boilar <br />Refri�eration <br />Woodstove <br />Othcr_ <br />CIiY OF EVERETT LOCAL SALES TAX CODE IS ]105 <br />I heroby ceri�i(y Ihat I have read and oxaminod lhis applicaliun and know the same to be Irue and corrocl. AI� provisions o( laws and <br />ordinaccs goveming Ihis typo o( work will be complied wilh whether specilir.d herein or noL Tho �ranlinc� of a permi� does not prosume <br />to yive aulhority lo viulale or cancr,l tho pmvisinn of any olher slalo or local law rr.yulahny cons�ruc6on or IhEi pedormance of <br />consiruclion. That I am aulhurized by Ihe owner ul Ihis property lo poAorm Ihe wurk lo� which applicalion is made and I comply wilh thv <br />S�ate Contractors Law,18.27 RCW and 29C+.200 W�C. <br />, ,1/ r/C�� <br />� <br />�_ . .,..--� -•--..__,�...,..._:__a�..__, ��.,, <br />