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SITE ADDRESS <br />�3�2,� <br />LEGAL LOT NO. <br />P�MIT APPLICATIC� <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 />PARCEL TAX I.D. # <br />� � �� .���� z� ��:; <br />-� � �= 2 <br />BLOCK TRACT <br />PERMIT # <br />DESC. r I I <br />� <br />OWNER ADDRESS CITY/ZIP PHONE <br />C . `�c �r�, r-/ i ��i C� C, ..�.� G� /" ;,i.�-r� ��, --S •r= �- ��� �u%5� f �� j 2- G �� `j�-7 L �, ,� i�3 <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />�.� ' / . il ..�i . / / �/ -'/ t 1 <br />LI <br />/�/`� . . ..� - � �lr,,! e-, �i i �-. L' t/ ('�'� } <br />y � <br />CONTR. LICENSE # <br />%�/� Ys"��� <br />USE OF BUILDING <br />WORK DESCRIPTION <br />�-��-- r �r� �`� <br />ADDRF.�SS <br />��' %�G-�. z L 7 � <br />�� <br />y PLUMBING' <br />NO. TYPE OF FIXTURE OR ITEM <br />� <br />Z-- <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />i Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />' Grease trap <br />Roof drains <br />Other <br />6 � �t` Z,.S �' `1 C% ���t % ('i <br />, CI /ZIP PHONE <br />r-c%��� �.�� lx%Fi `��oT.� yz3� � -� �r � <br />HEAT SOURCE <br />Electric Gas Other <br />NO. <br />, <br />��-c�<<--t, <br />CONTRACT PRICE OF WORK <br />.fG'U. �� <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rangehood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this type of work wiil be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />State Contra�t�rs Lavn 18.27 RCW and 296.200 WAC. <br />,_ , <br />, � <br />" ' ,, _._.. 1'�"z �- ,% <br />. - - �-� ,� ; - f�`�,-" <br />nt <br />