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SITE ADDRESS <br />�i � �� % /l� <br />LEGA'.I LOTNO. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-88f 0— FAX 425-257-8857 — www.everettwa.org ��, �-� _ fi � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOf.K <br />PARCEL TAX I.D.lf <br />TR4CT OR SUBDIVISION p <br />PERMIT # <br />%f'—u5� -,i,>>//L�;Y: / )/� /�4ciF�� 7�;�i1: /J), <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />1 5 .2_ " .%//�/ <br />I� ��Gi S L - II1 %/LG��L l�tJ; !.' /y/�' ��- F-MAIL <br />'�bATR7CCTOb � <br />Ci�fl:�'/'.<U:�:.:Y2_ i��N:• •:/c' J�IJ /�yt�G�c.J..L ���LC/ f5�-.��//� <br />CONTR. LICENSE # <br />�lL7iG�3� ,:1. ; <br />USE OF BUILDING <br />c"; i iG� <br />WORK DESCRIPTION <br />%/r; �.i i �%C L <br />HEATSOURCC <br />L� Eloctric _ Gas _ Other <br />CONTRACT PRICE OF WORK <br />'% 1, 7U0 == <br />-� _ 7 - <br />%�YC (�-j��c �J� f�! %�� /'(!/7 7/� C��„� ,li�e /Z-l�tJl- <br />NO. I TYPE OF FIXTURE OR ITEM <br />To!let <br />Bathiub <br />Lavatory (wash basin) <br />Shower <br />Ki�chen sink & disposal <br />Dishwasher <br />Clothes washer <br />Wa1=r heater <br />Sink (service/bar/mop�e�c.) <br />8ackflow preventer <br />Urinal <br />Drineing Fountain <br />Floor drain <br />Grease lrap <br />Rool drains <br />Other <br />I:Pa <br />TYPE OF FI%TURE Or71TEM <br />A�C - air handling units <br />Forced air sys�ems <br />Gas piping <br />Water heater <br />Gas tireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhausifan <br />Heai pump <br />Unit heater <br />Boiler <br />Refric�eralion <br />Woodslove <br />CITY (1F EVERETT LOCAL SALES TA% CO�E IS 3105 <br />I hereby ceritily that 1 have read and examined ihis applicalion and knrnv Ihe same to be true and correct. All provisions ol laws and <br />ordinaces goveming ihis type ol work will be complied with whether specilied herein or noL The granting ol a permit does not presume <br />to give aNhorily to violate or cancel lhe provision of any other state or local law regulating ccnstmction or ihe pertormance of <br />construclion. That i am authorized by the owner ol this property to pedorm the work lor �vhich application is made and I comply wi�h Ihe <br />State CoWraciors Law 18.27 RCW and 296.200 WAC. � <br />: Z/�_ <br />