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PERMIT APPLICATION <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 />SITE ADDRESS <br />2� <br />LEGAL LOTNO. BLOCK <br />DESC. � <br />OWNER <br />U` 1.i�T� I,t�R't� o� SNc <br />PARCEL TN( I.D. # <br />TRACT <br />Go. �(t7-13�� � <br />TENANT NAME CONTACT FOR PERMIT PHONE � <br />�a 1.� 1'(�c� �.��F I �—�k ��544�1�. ��1-�'—'{�2—Co�2o <br />CONTRACTOR � �,b ADDRESS CITY2IP PHONE <br />CONTR. LICENSE p <br />USE OF AUILDING <br />HEATSOURCE <br />�Electric _ Gas _ Other <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />—['�r,.���-sT l ��v�l'✓.�r�-1— �- �O�wa l,�.f� �6--� <br />aP- S N ��ct�u.s tJ �N-t''� ��' ��s . <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet C� 2(15T) <br />Balhtub � <br />Lavalory (wash basin) (,jr�1,S-r� <br />Shower <br />Kilchen sink & disposal <br />Dishwashcr � <br />Clothes washer <br />Laundry lray r�LsT,� <br />Sink (servicelbadmop/etc.) L <br />Backflow preventer. <br />Urinal ,�F'rr.(S�(-� <br />Drinking'Founlain L�tbT.7 <br />Floor,drain (,�ic�,�^7:� <br />Gre�+se trap \ <br />Rdo( drains � <br />6m�� _ <br />r,r.a <br />� 2(o(7�a <br />�'� <br />j, TYPE OF FIXTURE OR ITEM <br />A/C - air handling i <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas renge <br />�Clolhes dryer <br />Rangc hood <br />Exheusl fan <br />Unith <br />Boiler <br />Olher <br />CITV OF EVERETT LOCAL SALES TAX COUE IS 3705 <br />�'/ <br />I hereby ceritify ihal I have read and examined this application and know Ihe same to be true and correcL All provisions of laws and <br />ordinaces goveming this type of work will be complied with whether specified herein or noL The granting of a permil does not oresume <br />to give authority lo violate or cancel lhe provision of any other state or local law regulating construction or the per(ormance of <br />construction. Thal I am authorized by the wner of this property I� peiform lhe work for which application is made and I comply wilh the <br />State Con ra t�r� Law 18,7,],�{J}N and� .200 WAC. <br />