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PtRMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />��v 7�'� �: s� <br />LEGAL LOTNO. BLOCK <br />TRACT <br />PARCEL TAX I.D, p <br />� �� <br />_...._.. ..__"'__ _...._.. ..._.._ G�TI_L, <br />��E',2E'i< N.� � � r.i ��vr irSJo �S� S%' s� �v�Vz� `fz� �3� ��o�-z <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />• .zi .,-, e� I �c: � V 4 L.tl ,7C� � Zy� � � �-1 1 'ZU% <br />CONTRACTOR <br />'��F,,.,G C���n�i %y /1��` <br />CONTR. LICENSE A �7 <br />�x_,t , �n1�9q4� �4 <br />USE OF BUILDING <br />�C� % � bc3.� j i A, <br />WORK DESCRIPTION <br />ADDRESS CITY2IP <br />�3'Si'� Z.� ;� Ne <br />/�/Z.��US� Llak�.� � %�'l/ � <br />—f' H�AT SOURCE � <br />Electric Gas Olher <br />P�9t� i�i iZ.o-� <br />i - � �Z. � rC) <br />CONTRACT PRICE OF WORK <br />%U �%' cU <br />i[�ti.z c�f iC S!-J/-:Kr� r�Gt� ZCJ �'TJ��� �'/ %' GDSt L`7w <br />NO. <br />PLUMBING <br />TYPE ^F FI%TURE OR ITEM <br />Toilot <br />Balhtub <br />Lavatory (wash basin) <br />Sliower <br />Kilchen sink 8 disposal <br />Dishwashr.r <br />CIO�IIL'S W85I1Cf <br />Wnten c�ater <br />Sink (servicelb:idntoplelc.) <br />[�ackflow prevenlr.r <br />Urinal <br />Drinkinc� Faunlain <br />Floor drain <br />Greasetnp <br />Rool drains <br />Olhr.r _ <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C – air handling unils <br />Forced air systems <br />Gas piping <br />Wator healer <br />Gas fireplaco <br />Gas ranye <br />Clolhes drycr <br />Ranc�o hood <br />Exhauslfan <br />Heat pump <br />Unil hcalor <br />Boiler <br />Refrigcration <br />Woodstove <br />Othor <br />CIN OF EVERETT LOCAL SALES TA% CODE IS �105 <br />I hereby ceritily Ihat 1 havo read and examined Ihis applice Uon and know the samo to be Irua and corracL All provisions of laws and <br />ordinaces �overning Ihis �ypo ol work will bo compliod wil'i whelher specifiod horoin or noL Tho granling ol a parmit does nol presumo <br />to give aulhrnity to violatc or cancol Iho , rovision of any other slalo or local law regulating construction or tho porformance of <br />consiruction. That I am authoriz�d 6y lhc ownor o( this pmperty lo porloim Ihe work /or which applica�ion is made and I comply with the <br />S(a�ConlraGtors �tii.27 Fi�Vil.�2�J6200 WAC. l <br />-��� _�� �/ /���6 <br />