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SI1'E ADDRESS <br />�, 6 Z <br />LEGAL LOT NO. <br />PEI�iVilT A►PPLICA�IC�N <br />�ITY vF EVERCTT PERM{T SERVICES 5—�3-08 <br />3200 CEDAR STREET, EVERETT, WA 98201 � oBUg�(� <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 Ah1 TO 4 PM <br />n�r ��L; <br />c1'� mc�_�l.w c� <br />BLOCK <br />Ko � .�.n U �'o.c'� <br />TENANTNAME <br />l�c e-� z� 1--�w �, S� c <br />�-�',5 �c� n�7���t,,C-� i '� � 1 <br />� <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />� ��tV! ���.W, �-1 <br />CONTACT FOR PERMIT <br />Kev;.-� C����c� <br />ADDRESS �y Z� ��; {.�5: <br />CONTR. LICENSE #� S CO � S (_ q�(�S% <br />USE OF BUIL�ING <br />WORKDESCRIPTION C�^pn�� Urin- <br />�.e���c� v � ��(�����i���nj- . <br />PLUMBINI� <br />NO. I Tl'PE OF FIXTURE OR ITEM <br />Toilet <br />BathWb <br />Lavalory (wash basin) <br />Shower <br />IJir.hen sink R disposal <br />DishNasher <br />Clothes washcr <br />Waler heater <br />Sink (service/bar/moµ�etc.) <br />Backflow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />HEATSOURCE <br />✓aEleclric Gas G�her <br /># <br />Z� <br />'Y� <br />�� <br />PNONE y].S �r7 J �CPZC' <br />rvcm rnvrv� CL �OmCGS 1� <br />n,�:�ys�.u� � n�r <br />4Z5 2936�Zc( <br />CONTRAC7 PRICE OF WORK <br />— — i . �{� <br />�' 'i' u r1 e�J �. `�=r �:b \� �1� +�nc�� <br />NO. <br />G — <br />MtC:fiANII:HL <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />1Nater healer <br />Gas firepiace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Re(rigeration <br />Woodstove <br />CITY UF EVERETT LOCAI SALES TAX COOE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be lrue and correcl. All pro�disions of laws and <br />ordinaces govemino. this type of work will be complied with whelher specified herein or nol. The grenling of a permit does nol presume <br />lo give authority to violale or cancel ihe provision of any uther state or local law regulaling construction or the performance of <br />consUuclion. That I am authorized by lhe owner of this properly lo perform the work for which application is made and I comply with the <br />State Coqiteclors Law 18.2i RCW and 296200 WAC. <br />re <br />