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PERMIT APPLICATION <br />CITY OF EV�RETT' PERMIT SERVICES <br />3200 CEDAR STREET, cVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />�e-a3-o� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS PARCEL TAX I.D. # d�`,s�/S/C 3G Q3 i w <br />.%C520/•ictr�iSc.J St. i�i,C�l� I28eSv6cc2cciog oc.s'�,i�.7coii:o <br />LOT NO. <br />%/, /zl3l, 32 <br />,PrSc �'�� <br />BLOCK TRACT <br />3 (, P/4r o� /�.nr/�urS; �%✓. �= <br />� �. ADDRESS ��� <br />:r.t�.rnCn�!l;�kc �s�o /k�cd.so,✓ <br />�c� <l 7G lo B�2 5 2� c� S�•, /fu,c f c�ia <br />TENAN NAME � CONTACTFORPERMIT PHONE <br />(/oi c� sf7r.u,,, Gz; �� /� ss I(9,�i�u� �9G,-�2a�rus .��c -;z�2 -234,7 <br />CONTRACTOR •T?��� ADDRESS CITYZP PHOHE <br />/ i� <br />CONTR. LICEHSE # <br />USE OF BUILD�NG <br />N�A <br />HEATSOURCE <br />Eledric _ Gas _ Other <br />CONTRACT PRICE OP WORK <br />6.�I5� G DO <br />WORK /DESCRIPTION <br />%�/"�l'� G�;,^.r.�tSS ��r'iron�i3 �z� G�'XJ�f�rt� /�O� /I�lcn�°/�c��. <br />� � <br />��� �,�,N���� ���rh�,�- � �� ��.� ���t��- � W/`�'.�i/H �s��s <br />1�'�J7CER CLrt�C� . CvnR �c�; �t- {���ft r,scc'sa /��a�c/�Gle' f E� �ovs:��'C�t u�...�� <br />_. ..'--..._ ..�nuw�nrn� <br />NO. I TYPE OF FIMURE OR REM <br />Toilet <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/badmop/etc.) <br />_ Backtlow preventer <br />Urina� <br />Drinking Fountain <br />Floor drein <br />Greasetrep <br />Rooi dreins <br />Olher <br />NO. I TYPE OF FIXTURE OR REM <br />AIC — air handling units <br />Forced air syslems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Cblhes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unil healer <br />Boiler <br />Refrigerotion <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby cerilify Ihat I have read and examined this application and know the same lo be true and cortact. All provisions of laws and <br />orcfinaces goveming this type of work will be complied wi:h whether specified herein or not. The granling of a permil dces not presume <br />to give aulhor}'� viy Ia�e or cancel the pmvision of any other stale or local law regulaling consWclion or the peAortnane= of <br />construdiorYTh�U'2m authori�kd by 11�qowneryf this property to pedortp ihe work for which application is made and I r,omply wflh the <br />Slate <br />.ZS/0 WAI:. / <br />, �� % r <br />`IZ <br />