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SITE ADDRESS <br />/2/(� �O�l� <br />LEGAL LOT N0. <br />DESC. <br />l <br />PERMIT APPLICATIt�N <br />CITY OF EVERETT PERMtT 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 />PARCEL TAX I.D. # <br />�, vSzo 31 <br />BLOCK TRACT qR SUBDIVISION # <br />�CCo�f� � r���� �s <br />TENANT NAME <br />�ai7�r ��6���- <br />� <br />CONTACT FOR PERMIT <br />PHONE <br />PERMIT # <br />w�Q'Z- <br />GVIVIKAGIVI( AUURtSJ ITY/ZIP PMONE <br />�/�.P� �`���i�; -z'�. ��z� /l-�/i�' � rt� �s�os gz�ro8', s�� <br />CONTR. LrIC�ENS�E #// p �y �gL�g' <br />Si%�Tils"�'�7 .7! �J" T �� <br />USE OFBUILDING / HEAT SOUR CONTRACT PRICE OF WORK <br />Covr�G��YcI ��� Electric Gas _ Other �2 �'r 4��' �� <br />Si' �/1 l�tt'G��l-��2.-- — <br />ORK DESCRIPTION <br />7 �Gc� O 5---.f�ic C� lG-C'`l_5 �'L4 //� � Q�t o <br />�i'✓d t' `�c�CYf`C/2 i.�'J� C�'�2�C�� ' ( G!�/ �<%f�y� 2�-l� <br />2f <br />�l2tiuC//�8 �' f%�C'Y2�`�"`i �-- �7� �O C � c�f � _ <br />N0. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash baain) <br />Shower <br />Kilchen sink 8. disposal <br />_ Dishwasher <br />Clothes washer <br />_ Water heater <br />_ Sink (seroice/badmop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />_ Roof drains <br />_ Other _ <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas pi,�ing 3 [y�[,(��� <br />Water lieater <br />Gas fireplace � <br />Gas range <br />Clolhes dryer ^� <br />Range hood / , � � <br />Exhaust (an � <br />Heat pump � <br />Unit healer <br />Boiler <br />Refrigeration <br />Woodslove � — /j/ „o <br />Other �rrr�yce% -f-r,z�ve. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify lhal I have read and examined this applicalion and know lhe same to be true and c�rrect. All provisions of laws and <br />ordinaces governing this type of work will 6e complied with whelher specified herein or not. The granling oi a permit does nol presume <br />to give aulhoriC• to violate or cancel Ihe provision of any olher slate or local law regulating wnstruclion or the performance of <br />construction. That I am aulhorized by the owner o( this property lo perform the work tor which application is made and I comply with the <br />