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SITE AODRESS <br />� ". <br />Luc,�� + <br />7ENANT NAAI <br />PERMIT APPLIC/�►TION <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 />BLOCK <br />CONTRACTOB A�n /'NL �'�� <br />N �� <br />corm+. uceNse r /I . . . _ . _ � <br />USE Of BUILDING <br />PARCEL TAX I.D. 0 <br />C�%o 3 0 <br />7AACT OR BUDDIVISION f <br />CONTACT FOR P@ptUT PHONE <br />�' <br />/f:t1 S� l�G7 r'VI (� E�AAIL <br />.,�i.� FY'Lhx Ir1_r RA��ytv,lk r�a <br />4�Lio <br />HEATSOURCE <br />Eloctric Ges Olhcr <br />y-a�-oq <br />�ERMR II <br />�u-ooL <br />�WiE <br />75 5�3-� 5 <br />LS 3�•7 7SS/ <br />��Y��GOI�SC'/�✓lCE _Cc�wJ <br />� 3�^---- <br />CONTRACT PRICE OF WOHK <br />, �:aDGX.� .,,. <br />WORK OESCRIP'TION r� S� �-� )' ��� � ' -- r / ' - ' �l �� . �FJ $N D ��o /'w� <br />ovt� o r,r�i�r �/Ne,.� t.r/� -� �lf-s. ' <br />f� �;v,',1��„��.7�sf�,rl Nz�d� P l <br />Np, � TYPE OF FlX7UflE OA ITEM <br />Toilot <br />Balhtub <br />Levatory (wazh basin) <br />Shower <br />Kitchen sink 8 disposel <br />Dishwashor <br />Clothes washar <br />Waler healor <br />Sink (servira/bar/mop/otc; <br />Backllow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greaso trap <br />Rool drains <br />Olher <br />NO. I TYPE OF FlXTURE OR ITEY <br />A/C — air hendling units <br />Forced air syslems <br />Gas piping <br />Watar heater <br />Gas fireplaco <br />Gas rango <br />Clothas dryor <br />Renge hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boilur <br />Refrigeration <br />Woodstovo <br />CfTY OF EVEHETT LOCAL SALES TA% COOE IS 7105 <br />I hereby ceritify that I have mad and examined this appfcation end know the same to be truo and wrrect. NI provisions of laws and <br />ordinaces governing lhis type of work will be complied with whelher spocilied horein or not. The granling ol a pormit does not presume <br />to give suthority to violate or cancel provision ot any other state or local law regulaling construction or the poAortnance ol <br />construclion. That am aulhorized e owner of Ihis proparty lo poAorm the vrork for which applicetion is made and I comply with the <br />S�ate Conlrador aw 8.2Y RCW 296200 WAC. <br />� � �l � i o � <br />IL <br />