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SITE ADDRE33 <br />LOT NO. <br />��RMIT ARPLICATI� N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-25l-8857 — wvwv.everettwa.org <br />APPUCATIONS ARE ACCEPTED FROM C{ P.M TO 4 PM '/ 16 —/� <br />PARCEL TAX I.D. p I PERMIT 1! <br />BLOCK TRACT OR SUBDIVISION N �` A�+T�� I� <br />TENANT NAME ��� CONTACT FOR PERMIT <br />�, /� s L-� �' .�' ..-- I.aUX Z�,J�-t <br />PHONE�� ,�dpj ��v <br />�r. <br />CONTRACTOR ���(f AODRess cin�ur rnvnc <br />Ov�I�!"'.� / �.ni,A�+'' /�H�.�.t')" �fi�� 1?Z, Fi/� I � <br />CONTR. LICENSE N <br />USE OF BUILDING <br />c o,�r�,�� Grr,�r�,aacr� <br />WORK DESCRIPTION �K�/�,(i 3/�� <br />NO. � TYPE OF FI%TURE OR ITEM <br />To:lel <br />Bathlub <br />Lavatory (viesh basin) <br />Sho�ver <br />Kitch=n sink 8 ��sposal <br />DishH�asher <br />Clothes washer <br />Water he�ter <br />Sink (survice/bar/mop/etc.) <br />Back�o�v preventc r <br />Urinal <br />_ Drinking �ountain <br />Floor drain <br />Grease hap <br />Rool drains <br />O�her <br />HEATSOURCE <br />_ Eleclric � Gas _ Other <br />CONTRACT PRICE OF WORK <br />'�I1-� � <br />� � �1"iaJ1�> � Li�Drl�Ili <br />N0. I TYPE OF FI%TURE OR ITEM <br />AIC — air handling units <br />Forr.ed eir systems <br />Ges piping <br />Waler heater <br />Gas fireplace <br />Gas rango <br />Clothes dryer <br />Rangehuod <br />Exhaust fan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL 9ALES TA% CODE IS J106 <br />I hereby certify that I hava read and examined lhis application end know the same to be Uue and co�recl. Atl provisiona of laws and <br />ordinances goveming this lype of work will bo complied wilh whelher specified herein or not. The gr�nting oi a permit dous not presume <br />lo give authority to violate or cancel Ihe provision of any other slate or local law regulating construction or Ihe peAortnance o/ <br />;onstruction. That I a�n authorized by the owner of this property to perlorm the work lor which applicalion is made end I a�mply with lhe <br />31ate Contractors Law 7827 RCW and 296.200 VJAC. <br />i I I � <br />I � l , �---f"' � � f L� <br />L� �1,.. "] !� 1 � 1/ . <br />�L7 <br />