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P�RMlT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVF_RETT, WA 98201 <br />425-257-8810 — FAX 425-�57� �&57 — www.everettwa.crg <br />APPLICATIONS ARE ACf;EF'TED FROM 8 AM TO 4 PM <br />SITE ADDRESS I <br />e�3nsEtv�=��ff✓17i�11 p <br />LOT NO. <br />DESC. <br />� 3�D S � Fv� �t �ff �7 A%� <br />TENANTNAME <br />��.�E r /a � <br />CONTR. LICENSE # <br />�SSE y� Con 5�- <br />/ � <br />'�-� ��; <br />USE OFBUILDING <br />C l�cf�C� <br />PARCEL TAX I.D. Y <br />OR SUBDIVISION # <br />�v��eh <br />4NTACT FOR PERMIT <br />��Lc,� C <br />�ERMIT # <br />"� � a " b,�' � <br />-•-, a�.r <br />l�/�/� G.vc p tC ,� p,� .��(L � ze�K � a- <br />p� i'rl v i8 �%�oi � <br />HEATSOURCE <br />_ Electric � Gas _ Other <br />� <br />6 S�j,q <br />CONTRACT PRICE OF WORK <br />i%��j� <br />WORK DESCRIPTION � a- /�� <br />F�Oor•S c� �%i' S� �� OP s (JY/�" � <br />��v�/%ti) �` <br />�;`,�i/ ���� c.r,.r���T s,a,�.c/J <br />J <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toi�el <br />BathWb <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Backtlow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease irap <br />Roo� drains <br />Other <br />I hereby ceriti(y lhat I <br />ordinaces goveming <br />lo give �thp�ity lo vii <br />State <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Waler healer <br />Gas fireplace <br />Ga; range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Re(rigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />read and examined this application and know lhe same lo be lrue and correcL All provisions of laws and <br />pe of work will be complied wilh whelher specified herein or not. The granling of a permic does not presume <br />xq�ncel the provision of any other slate or local law regulaling construclion or lhe performance of <br />�orl,zed by lhe owner of this propeAy to perform the work for which applicalion is made and I comply with lhe <br />�7 RCW and 296.209 WAC. <br />' I ���1�`� I ��. .�?, �J1 <br />