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06AMIT APPLICATIGA <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 />pDC� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />PARCEL TAX I.D. # <br />PERMIT # <br />99Q�) 19m AVM. se <br />7-sor-­1 Soo4os4a, <br />LEGAL LOT NO. <br />BLOCK <br />TRACT OR SUBDIVISION # <br />DESC. <br />OWNER ADDRESS CITYIZIP PHONE <br />W I Nee> F-e�/ L1 G (oSO N. /*-MSTecrr= POI5t=/I D 2-Ce-3i"1- o 110 <br />1ENANT NAME <br />CONTACT FOR PERMIT PHONE 206-3-1*-I 2 <br />WINGO <br />F•E LJZAMA <br />�L <br />r �TE(sarf SPWGS/4=14 tT .0 = E-MAIL lee-1@PSe;•c1V1. COr)•1 <br />CONTRACTOR { ADDRESS CIT%.ZIP PHONE <br />"j-O[j�DEZT�Ff�IIIV�D <br />(jyi.GtiOP�s--._ �D(12� �c�yDU � �✓P/I�Q.1.�/E'ii� <br />CONTR. LICENSE # <br />ZU.� 3r�a �yyr7 C��—.�-:�o •/O F-xu�2 �370 <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />�C <br />(a_4a0C6Ry ST`� <br />Other <br />czOtin SZ-COMMUNIN "?-e,,50 <br />7 <br />—Electric _.I,�Gas— <br />WORK DESCRIPTION <br />12:ll_ $ ^C>r0 0r4 TPOIL-JIN4 • y4mrnc)r4 Ta f3EGrYty W4Wl zjSTEEL-JOIsT <br />Ir DEcV-I Sl q$ Cti G.1thCE . INTERS LLO-LLS/ FINISHES/ L16141PN9- 9 IiV/6rG%­d' At. - iSF Nri�uj . <br />ti1�w �X'TE e.+dz �,rr1J `� % TtD 1� GM U CmLCJM NS WITH � I �'S }=1 N l•5 H r4n� $"f7}fJD! N6 SI`�'n <br />PLUMBING \_ -----------MECHANICAL. <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />_ <br />A/C - air handling units <br />Bathtub <br />_ <br />Forced air systems <br />_ <br />Lavatory (wash basin) <br />_ <br />Gas piping <br />_ <br />Shower <br />Water healer <br />Kitchen sink & disposal <br />_ <br />Gas fireplace <br />_ <br />Dishwasher <br />_ <br />Gas range <br />_ <br />Clothes washer <br />_ <br />Clothes dryer <br />_ <br />Water heater <br />_ <br />Range hood <br />_ <br />Sink (service/bar/mop/etc.) <br />Exhaust fan <br />_ <br />Backllow preventer <br />Heat pump <br />_ <br />Urinal <br />Unit heater <br />_ <br />Drinking Fountain <br />Boiler <br />drain <br />Refrigeration <br />_Floor <br />_ <br />Grease trap <br />Woodstove <br />_ <br />Roof drains <br />Other <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinates governing this type of work will be complied with whether specified herein or not. The arantinC of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local lati^: regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />State Contrac rs Law 18. RCW and 290.200 WAC. <br />Stgna mg caner 6 nt actoNuthorize dAgent Date <br />�/I I /z <br />