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SITE ADDRESS <br />LOT NO. <br />DESC. <br />� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />PARCEL TAX I.D. # <br />Gd�7��wZ/Gc <br />BLOCK TRACT <br />lU ��1_ �'/�! �lh/r ✓ <br />.a <br />� •-��,�1-�'1.� <br />�'�1IA�'�c: SC.cu,w�": <i�Gr�c 5 37 � % �'lGL7���Gr.4LGQUGI.���� �/p-f- lv�4 <br />TENANT NAME CONTACT FOR PERMIT j-� ��� u; AV,NtaWT� <br />� �iey..xz,rRr .5�'v��c> ibuG�.-���4iv�V.4a7 `��% 3�� 5 y'�iv <br />CONTRACTOR �(//5 ���/( <br />CONTR. LICENSE �I L'Gf�f�^i�`% <br />uyG �7 <br />USE OF BUILDING <br />O/"f'�l/�./ r'</AfL31L��..�^iF� <br />ji' l.� % Ti <br />WORK DESCRIPTION <br />�DDRE55 GN21 PHONE <br />2a�o� g��!/U. cv.. ��. �x z� <br />_ . . . . . _ ._. L1i+ir�.N-C (GFr.y�i �tJ <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />Eledric %� Gas _ Other ,�1 �% � U U <br />'T�.v,4>JY— /Mj�,t�(/U`1�/-V— �i(v✓O J��' <br />�o/'�%�� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Talet <br />E3a�htub <br />Lavatory (ws�ii basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes �vasher <br />Laundry tray <br />Sink (service/bar/mopletc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Olher <br />NO. <br />!v�/�i /O •� r� ; /_ <br />�v7 �t /.�.��.-eht�.«� <br />NPE OF FI%TURE OR ITEM <br />A/C — air hantlling unrts <br />Forced air systems <br />Gas piping <br />Waterheater �fu-YTiSUS <br />Gas freplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhauslfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refng?rahon <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS �705 <br />I herebv ceritify ihat I have read and examined ihis application and know lhe same to be true and correct All provisions of laws and <br />ordinaces goveming this type o( work will be complied with whether specifed herein or not. The granling of a permit does not presume <br />to give authonty lo violate or cancel the provision of any olher state or lowl law regulating conslruc6on or the performance of <br />consiruction. That I a thonz by ihe owner of this property lo perform the work for �vhich applicalion is made and I comply with ihe <br />State Contradors v 1827 RC and'296�200 WAC. <br />