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�{ PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES (j G <br />3200 CEDAR STREET. EVERETT, WA 98201 <br />425-257-88/10^ FAX 425-257-8857 - www.everettwa.Drg <br />AM ]CATIONS ARE ACCEPTED FROM 8 AM TO Mr I1 <br />~ 81 & CRYcD1T CARDS ARE NOT ACCEPTED <br />PERMIT # <br />DD Sir <br />.OR <br />SOuV,� Tra nsi <br />TENANT (NAME <br />NT <br />l IAC <br />TAX I.D. # <br />e a { scklled > I Q on <br />TRACT <br />qo! S. aack V Q- Sea <br />CONTRACTOR <br />CONTR. LICENSE # <br />USE OF BUILDING -1 n=- <br />:V+V(e_ 'ParkAR5 <br />WORK DESCRIPTION t C-1 <br />1 p,hyj,Lro�i ound S� <br />NO. <br />CONTACT FOR FLMM-I <br />Val <br />ADDRESS <br />PHONE <br />r. C2a��3g8��11� <br />CITYIZIP PHONE <br />oor^c r)F WORK <br />HEAT SOURCE <br />Electric _Gas__ Other <br />_�� <br />vyDUs ildin g co Ouv`T"W. % <br />rage "A h 0's t 'ALtm ol� lion o6 o l(Lsat er <br />J 'AurOVnd � :25r (BilroMc tYac iD <br />A� StRI p gyg(¢ ehQet'"'CGhiYm� MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (servicelbarlmopletc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />other��— <br />NO. TYPE 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 />_ Exhaust fan <br />_ Heat pump <br />Unit heater <br />Boiler <br />_ Refrigeration <br />_ Woodstove <br />Other — <br />I <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerility that 1 have read and examined this application and know the some to be true and correct. All provisions of laws and <br />toordgiveceu godly l0 governing this type <br />cancel he provision con llied with any other state owhether r local awecified eregulafingrein or fconstrurction oranting he perfolrman'e of presume <br />construction <br />Law 18ionauthorized <br />RCW and e owner <br />of WAC. property to perform the work for which application <br />Stateis made and 1 comply with the <br />That I am <br />this <br />`IN <br />