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. \.1 <br />P�r2MIT APPLICATIGnI � � � <br />1���J <br />� <br />� �r� <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 />p� ��/-ar�- <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />LEGA LOT NO. <br />DESC. 1 "7 �. �7 <br />BLOCK TRA�T <br />Z' / � S <br />PARI:EL TAX I.D. i1 <br />� <br /># <br />.,..,._,. „��,._�� �,,,.". �,...,._�� 624� 45'�c <br />�� I�+.aNY1oE (.l.L �i7S U��^'�— `�� q0�34 <br />TENANTNAME � CONTACTFORPERMIT PHONE <br />�D �S MdR. {2S •2S`� 4�SJr <br />CONTRACTOR ^, ,^-'r O � y� n', .�^ ��2� r`W �L � CI� 2�� PHO�� �I Z� <br />:JNnivC� lX���.,..rua9., r[� <br />CONTR. LICENSE It <br />DURn1E oc. I��1 KU <br />USE OF BUILDING I HEAT SOURCE I CONTRACT PRICE OF WORK <br />_ Electnc �(, Gas _ Olher <br />73 , �23 <br />WORK DESCRIPTION (� ���� �sn �� �� �US� �N , �NSTALLI �L <br />K. L�-l.�,b lh1FJ <br />�3 N.c-�.� N-�- -m��t' l�oY►n.Y, RtP� `�-Q�2�Nku�s � 2� s� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />BathW6 <br />Lavatory (wash basin) <br />Shawer <br />_�`i(�chen sink & disposal <br />Laundry <br />Sink (se <br />Back(low preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other _ <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gasr ge <br />_ Clothes ei <br />Range hoo <br />Exhaustfan <br />Heat pump <br />� Unit healer <br />Boiler <br />_ Refrigeration <br />_ Woadsrove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />� <br />' I hereby ceritih� that I have read and examined this application and kno�v the same to be true and correct. All provisions of laws and <br />ordinaces governing this rype of �eork will be complied with whether specified herein or not. The granting of a permit does nct presume <br />to give authority to violale or cancel the provision of any other state or local law regulaling construction or the perfortnanco of <br />constru , n. That I am aulhorized by the owner of this property to perform the work for �vhich applicacion is made and I comply with the <br />Sl� C nt ctors Lawh8.27 R�W an�296.200 WAC. <br />r� <br />