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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.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 3 CREOIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />33�o m�a <br />LEGAL LOT <br />DESC. f7� <br />!� f�Ui• <br />BLOC <br />BRorNEas /�uNRaE t,�� <br />PARCEL TAX I.D. # <br />TRACT <br />7/� 5�'uTl+ �f�NDE� SEf} <br />� <br />7ENANT NAME CONTACT FOR PERMIT PHONE <br />TIf�R►�1R�L sc(i��y J/1-ySoN VELLI Zy�-L�b¢-D?0¢ <br />CONTRACTOR ADDRE55 qN21P PHON <br />c���F R�cY�� ��c iNC 9-�� �u�sr vfFc�Er If�v r s P�ciFi� � 5-�rv`t 09�l- <br />CONTR.LICENSEp C r011Rh� JO-i- ` yN ���� I✓� �/� 00✓l� <br />� /T /� � l <br />USE OF BUILDING � HEAT SOURCE I CONTRACT PRICE OF WORK <br />wA�� 1lous� <br />WORK DESCRIPTION <br />i� B��s r��� <br />�' iN�OE, <br />S 1 I _ ElecVic _ 6as_ Other <br />qssErrlBiE� iNsTi?[.L /}NN �.� Z� <br />�L X�1 0��`x � w�O�J � L�14�/s <br />NO. I TYPE OF FI%TURE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory (wash basinl <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Cbtlies washer <br />Laundry tray <br />Sink (serviw/bar/mop/etc. ) <br />Backflo-.v preventer <br />Unnal <br />Unnking Fountain <br />Floor drain <br />Grease trep <br />Roof drains <br />Otlier <br />NO. <br />a �z�, �i <br />h�Ys df A�L E7 �'ACK. <br />I'9' TAt,L x 36"��E1x <br />NPE OF FIXTURE OR ITEM <br />AIC — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Hea� pump <br />Unit heater <br />Boiler <br />Retrigeratlon <br />Woodstove <br />Other <br />CIN OF EVERETT LOCAL SALES TAX CODE IS J705 <br />I hereby ceiitiry that I have read and ezamined this applicatan and know the same to W_ hua and coned. All provisions ot laws and <br />ordinaces governing this type of work will be complied vnth whether specified herem or not. The granting oi a parmit does not presume <br />to give authoriry to violate or cancel tn. provision ot any otlier state or local law regula0ng const�uction or tbe peiformance ot <br />cans4uction. That I am authonzed by the owner of this property to pertorm the work for W�ich applicatlon is made and I comply wRh the <br />Shate Con dors Law 18 2/7/ RCW a/nd 29G200 WAC. <br />� .n„ !�1 �!/ll,� f �l�'OS <br />Si r f OwneUContractodAuttiorized Agent ate �/ <br />Z <br />