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P ;RMIT APPLICATIC..� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwe.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITEAODRESS �(JI1 ��I���Q <br />• � ` ( �a, <br />LEG LOTND. � `(% BLOCK <br />TENANTNAME <br />CON7RACTOR �,� /Jm�,� <br />rr�-T <br />CONTR. <br />USE OF BUILDING <br />TRACT <br />PARCEL TAX I.D. M <br />�i(/E 1/oz <br />CONTACT FOR PERMI7 <br />C1/ L�� 4� <br />pDD_RE95 CITYRIP �P�N�� <br />�f5/� ��iC/��0?� �2.�1�.i�o�//-/�P <br />PCRMiT N <br />% i') �� �_) <br />PHPNt <br />�.^%�� .. <br />WORN D SCF R�PT��N � � <br />. ^ j <br />cL l:tiCJL•E/ !J <br />N0. I TYPE OF PIXTURE OR ITEM <br />Toi�et <br />Bethtub <br />Levalory (wash basin) <br />Shower <br />Kftchen sink 8 disposel <br />Dishwesher <br />Clothes washer <br />Leundry tray <br />Sink (servlcelberlmop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking fountein <br />Floor drein <br />Grease lrap <br />Roo1 drelns <br />Other <br />�/�— <br />— HEAT SOURCE � CONTRACT PRICE OF Wonn <br />Electnc ✓ Ges _ Other <br />N0. I TYPE OF FI%TURE OR REM <br />A/C - alr hendling units <br />L Forcad alr systems <br />Gas plping <br />� Waler heater <br />L Ges fireplace <br />,� Ges renge <br />1 Clothes dryer <br />�L Renge hood <br />Exhaustfen <br />Heet pump <br />Unit heeter <br />" Boller <br />� RefdBeretion <br />— Woodatove <br />Olhe��-- <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS ]106 <br />I heraby ceritiry lhot I hav� read end examined Ihis applicetlon end k�ow the seme lo be trua end cortect. A�� P��� does no �� e <br />ordineces goveming this lype ot work will be cnmplled wilh whelher epecfGed hereln or not. The grenting of e pe ��h �he <br />to pive eulhority to violete or cancel Ihe provialon oi eny olher slele or locel lew regulaUng conslructlon ar ihe partormen� o� <br />construdion. Thet I em euthorized by the owner oi this property to perlortn the work (or whlch applicelion Is meda end I complY <br />Stete�ConVactorc Lew 18.27 RCW end 296.200 WAC. <br />, e li/ -7 <br />!, atB <br />