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SITE ADDRESS <br />' � -�c <br />LE6AL LOT NO. <br />DESC. <br />OWNER <br />yJr�(�"�%1 <br />TENANTNAME <br />� -- - r <br />PERI1111T APPLICA1�10(V <br />CITY OF EVERETT PERMIT �ERViCES <br />3200 CEDAR STREET, EVERETT, VVA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� /� I PARCEL TAX I.D. # <br />BLOCK TRACTORSU�DIVISION!! <br />F�ils %�lu,nGr�,),�,ti- <br />CONTR. LICENSE # <br />j-e�GGS p1o3 <br />USE OF BUILDING <br />� �./�� <br />�*_':h 7 <br />DESCRIPTION <br />� �� <br />NO. I TYPE OF FIXTURE OR ITEM <br />�_ <br />Toilet <br />Bathlub <br />Lavatory- (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes �vasher <br />lVater heater <br />Sink (service/badmop/etc.) <br />Backflow preventcr <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains , -. <br />Oihei� ���� �r'I_(:,...:ue� /'u.•a� <br />��� �'. `. <br />CONTACT FOR PERMIT <br />ADDRC-SS <br />nc/�� s��r <br />HEATSOURCE <br />PHONE <br />E•MFUL <br />-- anrzp I <br />,l'b.• �', lJ+z�v <br />98oys <br />__ Electric _ Gas __ Othcr <br />�r �3 -�q <br />�o�Co�l-Cb <br />PERMIT N <br />y�S ;'��-�ssx <br />CONTRACT PRICE OF iNORK <br />�.�G � `� � <br />NO. I TYPE OF FIXTURE OR ITEM <br />� A/C — air handling unils <br />Forr.ed air syslems <br />G2s piping <br />Waler healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rarye hood <br />Exhaustfan <br />He�l pump <br />Unil heater <br />Boiler <br />Ref� ioeralion <br />WOJdSIOVC <br />CIN OF EVERETT LOCAL SALES TAX C001= IS 3105 <br />I hereby cerili(y that I have read and examined this application and know the same lo be true and correcl All provisions of laws and <br />ordinaces govemin9 this type of work will be compliud with whelher specified herein or nol The granting of a permit does nol presume <br />�o give authority lo violele or cancel lhe provision of any olher slale or local law regulaliny consiruclion or ihe performance of <br />conslruction. Thal I am authorized by Ihe owner ot this prope.ty to periorm the work lor which application is made and I comply wilh thz <br />Stale C�o�%� ctors L�aw)B.�CW and 296200 WAC. <br />�Y%�.,.. / ll�� � .�ii / _ L%/1 �C % <br />