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�_�� �l� <br />SITE ADDRESS �� <br />LOT NO. <br />�Vesi G°hri�t�ay� <br />TENANTNAME <br />P�RMIT 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 <br />,J fi <br />e.y- <br />C�^� <br />FARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />,D SE_ f`� � <br />CONTACT FOR PERMIT <br />CONTR. LICENSE S ��� ��SSG x`/ J�� n�� <br />USE OF BUILDING <br />WORK DESCRIPTION <br />�f�192G:.�bb4'S <br />C{'�£ii L� � r' <br />HEATSOURCE <br />Eleclric <br />Gas Olher <br />Gi��/1/GG Q�� L/SF <br />�'r C [G � � ; �-'����%2 C�/!/Ll'L/ <br />PLUMBING <br />NO. I T'YFE OF FIXTURE OR ITEM <br />Toilel <br />Balh!tib <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Waler healer <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />PHONE <br />�nyN� �_'N <br />IT # <br />;J � <br />33y7� <br />CONTRACT PRICE OF <br />NO. I TYPE OF FIXTURE OR ITEM <br />AIC — air handling units <br />Forced air systems <br />Gas piping <br />Waler healer <br />Gas tireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaust (an <br />Heat pump <br />Unil healer <br />Boiler <br />Refrigeration <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined lhis application and know lhe same to be true and corracl. All provisions of laws and <br />ordinaces governing lhis type of work will be complicd wilh whelher specified herein or not. The granling of a permit does not presume <br />to give auUiority to violate or cancel the provision of any other slate or local law rec�ulating consWction or the pertormance o( <br />consUuclion. Thal I am authorized by lhe o�mer of lhis propeM1y lo perform lhe work for which applicalion is made and I comply with the <br />Slate Contrectois La�a, 18.27 R W and 296.200 WAC. <br />'/�. . 1 � A n� a t,� �/, 2. 2/, V) � <br />7� <br />