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PL-RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-251-8857 - www.everettwa.org <br />PLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS PARCEL TAX I.D. # PERMIT # <br />+ f� -1544 5T W ,E%Ks-fT o�z ,oy 93�} -og �6050(a-o07 <br />LEGA _LOT NO. BLOCK TRACT <br />DESC. �Lp— dr[TAC-o- <br />-TE1+Ajj%CAt- 1*,f fC <br />Im -s•-v 1E�.,r�I.E 26(o 291 9400 <br />T.ENANT NAME kT-x� CONTACT FOR PERMIT PHONE <br />TT ER1c �l-WP4A.- <br />4".VIc.v'�' I YALttIC� 20G ;.al 9aoo <br />CONTRACTOR ADDRESS CITYIZIP PHONE <br />� Ikf'�-r coNyTlZ cT)z j �I 2,20 1 TIA KUJ (((,�� <br />CONTR. LICENSE # (ATM-e-ruohT7.7til,�FT_.•IZLLI_b <br />USE OF BUILDING <br />A'S�-t I u mi'FiC�L�j <br />WORK DESCRIPTION <br />NON �uu�taatt-, IUif✓1Lto[- <br />12,Zot 'tUKWI(� <br />HEATSOURCE <br />Electric _" Gas __Other <br />CONTRACT PRICE OF WORK <br />(000 , 000 <br />U304Ac. 1NEW F1n2-"1p':> j�. I p oes I fkotS t -K <br />PLUMBING <br />NO. TYPE Or FIXTURE OR ITEM NO. <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />itchen sink 8 disposal / <br />y <br />er <br />_ Casher -- <br />_ Lray <br />_ Sice/bar/m /etc.) -- <br />Bvon �- <br />_� U <br />Dou <br />FlGrea <br />RpRnsOl <br />TYPE OF FIXTURE OR ITEM <br />A/G - air handling units <br />forced air systems <br />s piping <br />Wa% hoafor <br />Gas h lace <br />Gas ran <br />Clothes it r <br />Range hood <br />Exhaust fa <br />Heat D <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinates governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel Iho p vislon of any other state or local law regulating construction or the performance of <br />construction. That I anAuthofized by a ner of this property to perform the work for which application is made and I comply with the <br />StateFontraclo ,0.27 RCW n 96.200 WA". / <br />