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SITE ADDRESS <br />�. lo�l2q <br />LEGAL LOTNO. <br />�ESC. <br />a�rs� <br />TENANTNAME <br />CONTRACTOR <br />P�RMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />d?5-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />I�of�lti/Ll� �i�—`�� <br />BLOCK TRACT <br />ADDRES: <br />� �� Z,a�� . <br />CONTACT POR PERMIT <br />(�-o��A� RioA�. <br />AD�RESS <br />P MIT# <br />_S�i'�GLZ'L_l—� <br />CITY/ZIP PHONE <br />_ ��s��vvl9�-- <br />PHONE <br />�l S-'! s'i �'%So � <br />CITYIZIP PHONE <br />CONTR. LICENSE # b � I�EC � �—� '��' � ` /� G' <br />� <br />9 -�, _ ' <br />USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />S�,� _ Eleciric _ Gas _ Other / W � <br />WORK DESCRIPTION <br />�,�MfL bi�= l:-FT�•L MFIR-� 114� ���'1'OJ1it�i�1T /O✓ <br />QZ-� S► n►we,+�ro�v wnsis �ivwcar� Sr,�,eluu� -,e- �Y, ce�uNs- �s�u�3, 3-� <br />NO. I TYPE OF FI%TURE OR ITEM <br />0 <br />Tailet <br />�alhlu6 <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry 6ay <br />Sink (servicelbadmap/etc.) <br />Back(low prevenler <br />Urinal <br />Drinking Founlain <br />Floar drain <br />Grease tr.^.p <br />Roof drains <br />Olher _ __ <br />NO. I TYPE OF FIY.TURE OR ITEM <br />A/C — air handling unils <br />� Forced air systems <br />Gas pipin9 <br />�' Waler heater <br />Gas fireplace <br />Gas ranc�e <br />Clothes dryer <br />Ranc�e hood <br />Exhauslfan <br />Heat pump <br />Unit heater <br />Boiler <br />Reltiger�(ion <br />V��JCJSIOVC <br />Other <br />—I — <br />CIN OF EVERET7 LOCAL SALES TAX CUDE IS 3105 <br />I hereby cerili(y that I have read and examined lhis apPlicatiun and know lhe same to bo lrue and correcL All provisions of laws and <br />ordinaces o g i I o wo will be complied wilh whelher speci(ied herein or not. The granline� o( a permit does not presume <br />to �ive au nty to viol or canc ihe provision of any other stale or local law regulating construclion or the pedormance of <br />9 <br />construc on. That I ulhori by Ihe owner o( this property lo peAorm lhe work (or which application is made and I wmply with the <br />Stale Co ctors 8.27j.CW and 29G.200 WAC. � � <br />