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i�� �! l' `�- <br />' `,, <br />�.. <br />;�,��,��. � P <br />Go�d�'-�a� ;� <br />��.,r � <br />r <br />LOT NO. <br />PE�.MIT APPLICATIOh <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK I I TRACT <br />PARCEL TAX I.D. # <br /># <br />'i��. C��S�,�J �,p�,�. ` � <br />TENANT NAME � CONTACT FOR PERMIT PHONE <br />h � <br />-t�'�ST � l �, • _� , <br />�'�� '�� ��,�� 3l00 - y� ��q5 <br />CONTRACTOR <br />��5� n-,,,�r <br />CONTR. ICENSE # <br />�S i o, ��.I Vv� L°�. <br />USE OF BUICDING <br />�€-�a, l <br />WORK DESCRIPTION <br />V 5$1N� rv1PrS��.n•�1 <br />1 d �N� 1.� <br />ADDRESS CITY2IP <br />l�.� ? `� ���Y�'�'.�l ��/� <br />� <br />, r> ►�ti� � <br />HEATSOURCE <br />_ Electric _ Gas _ Other <br />3 �+ts '�'� x 3 �2 <br />z��4°�� C{����� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower � <br />Kitchen sink & disposal <br />Dishwasher �� � <br />Clothes washer ��nnn"'' <br />Laundry tray ��ry1- �� � <br />Sink (service/bar/mop/etc.) � � <br />Back(low preventer � <br />Urinal -rI��J � <br />Drinking Fountain <br />Floor drain %�A1 � (� <br />Grease trap v `� <br />Roof drains �1 <br />Olher <br />5 <br />y2�_yD� S, <br />CONTRACT PRICE OF WORK <br />�v ` <br />� a.�, � <br />T�rv� A� "� <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas pip(ng <br />Water heater <br />Gas fireplace <br />Gas range <br />Cblhes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodslove <br />Olher i�c.t.s_.,. <br />�i �*S <br />U�0.�J� �, L..TSFJL,�� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby ceritify that I have read and examined this application and know the same to be lrue and correct. All provisions of laws and <br />ordinaces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to givo authoriry to violate or cancel lhe provis(on of any other state or local la�v regulating conslrucUon or lhe per(ormance of <br />construclion. That I am authorized by lhe owner of th(s property to perform lhe work for whfch applicalion is made and I ccmply wilh the <br />State GonUar.tors Law 18.27 RCW and 296200 WAC. <br />, _. <br />�: __. <br />,.. _.:_�- <br />