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SITE ADDRESS <br />�o i� F <br />LEGAL LOT NO. <br />DESC. <br />PtRMIT APPLICATI(;N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTEU FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />BLOCK I TRACT OR SUBDIVISION il <br />�--��-0� <br />PERMIT # <br />C� �D�-�a. <br />A OA1fL `Ni. Ll-c . I ��'3�2 ��iS�� /ku �_ � �t , i3uttf�u- �P.�i z �125 �� �i�,� <br />TENANTNAME � � CONTACTFORPERMIT PHONEy2}'��4'; ��'�1$ <br />I �t/N L%z5>Voy E•MAIL <br />NTR 11 R �-hAON� <br />AUr��fZ Fzn�T. ���. �ao3z �s-�`^Fw%�54� u'_�r.,��l2Y�c�i �12� <br />CONTR.LICENSEp �.��_�2(e-L�'�3'�[ ( ��� (�,p� <br />USE OF BUILDING <br />/7.� �7 <br />WORK DESCRIPTION <br />�Cii��) �.t��W �<t2 <br />PLUMBING <br />NO. I TYPE OF FI%TURE OR ITEM <br />t• <br />�:. <br /><' <br />r, <br />_� <br />Toilcl <br />Bathlub <br />Lava�ory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothrs washer <br />1Nater healer <br />Sink (�ervice/badmoplelc.) <br />8ackllow preveNer <br />Urinal <br />Drinkiny Pounlain <br />Fluor drain <br />Gr�ase trap <br />Roo( drains <br />Olhcr <br />HEAT SOURCE <br />El�clric ✓Gas _ Other <br />/�. S 3 <br />3 S �, <br />3 aJ <br />CONTRACT PRICE OF WORK <br />N0. I TYPE OF FIXTURE OR ITEM <br />_ t� NC - air handling unils <br />� Forced air syslems <br />� Gas piping <br />�_ Waterhoater <br />� Gas lireplace <br />� Gas range <br />� Clothes dryer <br />Ranc�ehood <br />Exhaustfan <br />n Heat pump <br />�� Unil hcater <br />�� Boiler <br />T Relrigeration <br />�' Woodslov� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />I hereby ceriti(y Ih�� I have read and examined this application and know the same lo be Iruo and correcL All provisions of laws and <br />ordinaces yoveming this type o( work will be complied with whelher specilied herein or noL Tha granling of a permit does not presume <br />l0 9ive authority tu violale or cancel Ihe provision ol any other state or local law rec�ulating construction or tho pedormance ot <br />consUuclion. That I am aidhori�ed by ihe owner ot this property lo perlorm Ihe work lor whi�:h applicalion is mado and I comply wilh iho <br />Slale Contrac�ors Law 18.27 RGW and 29G.200 WAC <br />Si�nalure of OwnedConUaclorlAulhorized Agent Dale <br />1 ��o%Zd�� I�L <br />