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SITE ADDRESS <br />LEGA � � l' NO. <br />DESC <br />TENANTNAME <br />G (� � <br />CONTRACTOR <br />CONTR. LICENSE q <br />PERMIT APPLICATION <br />CITY OF EVERETT PEi2MIT SERVICES <br />3200 CEDAR STREET, EVERETi , WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. fl <br />�'��"(��1��� L�fi !f, �ItFi � <br />BLOCK TRA�T <br />ADDRESS <br />�. ,,��r `, /'�i��/iiPs GLG �f�/� <br />I CONTACTfORPERhHT <br />G� c.�T %U <br />USE OF BUILDING <br />C�/'le.G�'L l _Gls I'1 /N (/ <br />� vi. /'� <br />ADDRE55 <br /><5 / �� <br />HEATSOURCE <br />_, Electric _ Gas _ Other <br />5--1 `-�6 <br />�ERHIT# ^,� <br />� L�'i� � � ��. <br />���25� y��1 -- �y 7� <br />CIry21p PHONE <br />i Y�. QG��G'WC-��-'�A� <br />yo �i ✓� <br />PHONE <br />3/0 � 3 � d�- ,63� o ;YI <br />C�7y21p PHONE <br />CONTRACT PRICE OF WORK <br />�`�.�,GG'C <br />WORK DESCRIPTION <br />� �c,✓���„ j'—,�r� P.-o ✓� r� �-.✓ % - <br />NO. I NPE OF FIXNRE OR ITEM <br />Toilet <br />BaUiNb <br />Lavatory �wash basin) <br />Shov+er <br />Kitchen sink & disposal <br />Dishwasher <br />CloUies washer <br />Laundry tray <br />Smk (servicelbadmop/etc.) <br />BacMlow preveNer <br />Urinal <br />Drinking Fountam <br />Floor drain <br />Grease hap <br />Roof drains <br />O�her <br />ND. I NPE OF FI%TURE OR ITEM <br />AIC — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas ranpe <br />Clothes dryer <br />Rangehood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />ReMgeratlon <br />Woodstove <br />Oiher <br />CIN OF EVERETT LOCAL SALES TAX CODE IS ]105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions ot lavis and <br />ordinaces goveming this type ol vrork will be complied with whether specified herein or not. The �ranting of a permit does not presome <br />to give aulhoriry ro violate or cancel ihe provision of any offier state or local law regulaUng construction or the pedormance of <br />construcnon That I am aulliorized by the owner of this pwperty to perform the wak lor which applica6on is made and I comply vdth the <br />Sta�e Contractors Law 1827 RCW and 29G200 WAC. ' � <br />�� . - � � . _ � �9- /�-� � '1 <br />