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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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT R CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS EVFRETT� <br />�foa� D Ru�Kc� A�� 9saw <br />LEGAL LOT NO. BLOCK <br />oesc. 13�1y �15, I� o�aD-000 <br />ioi�ol3o0 <br />TRACT <br />SpuTHapRk AbD- To fYERET7 <br />FRE� NENa2�c►< 3013 N, 85+� 5-f SenTTIe ,/alA °lis�a3 ao6-7&°1,0800 <br />TENANT NAME CONTACT FOR PERMR PHONE <br />EDW�a T�RMuLp IJoHNI�rfn�(-FRST5lGNS yas-775���p�j <br />CONTRACTOR ADORESS CRV21P PH9N <br />TL�YLnREO IuSTaIIATION `� ��i'108 5f a56��' pL a0r�-�37a�/f3a <br />CONTR.LICENSE# TAYLoI�qgOPu /(//,jJIOI(,/ �«��wA ���ya <br />USE OF BUILDING <br />(�ZE TA 1 L <br />HEATSOURCE <br />7C [lectric _ Gas _ Other <br />CONTRACT PRICE OF WORK <br />�1y7/.db <br />WORK DESCRIPTION <br />�/�S7ALL 36"H x I&0'�W ELE�7R/c �a�3lN�7 SIGN . <br />NO. I TVPE OF FI%TURE OR ITEM <br />Toilel <br />Ba�hlub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Four.tain <br />Floor drain <br />Grease Irap <br />Roof drains <br />O�hei <br />NO. � TYPE OF FI%TURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Cblhes dryer <br />Range hood _ n � <br />Exhaust fan \1 <br />Heat pump f� <br />Unit heater � l � �� <br />Boiler �.�` � <br />Refrigeration <br />Woodstove r <br />Other ELEGTRIC � <br />[AF31iJE i / <br />Si'�� (.� � <br />CITY OF EVERETT IOCAL SALES 7AX CODE IS 7105 <br />I hereby ceritify Ihat I have read and examined this application and know ihe sama to be true and cortect. AIl�provisions�6f laws an <br />ordinaces go•ierninc� ihis type o� work will be complied with whether specified herein or not. The granting of a permit does not p e <br />!o give autiv,rily lo violale or cancel ihe provision of any other state or iocal law reguialing wnstruction a the performance <br />conslructio�i. That I am authorized by Ihe owner of lhis property to pedorm the work for which applicalion is made and I co� wdh the <br />Slale Co�, �ract�- aw 18.27 RCW and 296200 WAC. ///� /� <br />�lrr� � 1� / <br />