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SITE ADDRESS <br />lasc�5 13c� V' <br />LEGAL LOT NO. <br />DESC �-{ <br />OWN[R <br />�Tu� �e <br />TENANTNAME <br />P��ZMIT AF'PLICATIG,J <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 1.2 il <br />��La���� 0�3�t3�tca�.'Y�`�-706 <br />BLOCK TRACT OR SUBDIVISION If <br />&�.L(x�7� t�PVp � LV %h L l5 �( <br />v� c�SUS t3eVe�Y � <br />CONTACT FOR PERN <br />� �'1,> �, <br />CONTR. LICENSE N l-�U,�'�"�-� <br />USE OF BUILDING <br />� Ga,rpoY --� <br />i —. <br />! WORK DESCRIPTION <br />HEAT SOURCE <br />_ Elednc _ Gas _ Olher <br />� ^ x a � �u�'� � � � <br />� <br />NO. TYPE OF fIXTURE OR ITEM <br />—_.—. I oticl _�� _ <br />l3alhtub <br />Lavatory pvash basin) <br />Shower <br />� Kdchen ;ink & disposal <br />-- Dishwashci <br />Clothes washe: <br />-- wa�er nea�er <br />Sntk �seiviceNai/mop/elc � <br />f3ackflow pr�venter <br />— Unnal <br />_ Dnnking f-oun�ain <br />Flooi diain <br />Grease Irap <br />Roof drains <br />Olher <br />Nr��-� <br />✓�-,�e-t� <br />PHONE i41 <br />=RMIT tl <br />�i 1 �� -vZC� <br />� (� �r—_,;-��- <br />�NE'9'Z�l"L.J.-C,- � 'J� <br />t,�J A `�S:?U3 <br />S� ��C' ��, vC <br />:i; K.',i,./,.J.��i .�'sr ..>rfPs <br />NE �CGn, <br />CONTRACT PRICE OF WORK <br />MtI:FiANIGAL <br />NO. I TYPE OF FIKTURE OR ITEM <br />NC - air handliny units <br />Porced aii syslems <br />Gas piping <br />Water heater <br />Gas liieplace <br />Gas range <br />Clothes dryer <br />Ranye hood /� ' a-1/l� <br />Exhnust lan � `� <br />I-ical p.imp <br />Und heater <br />Boller <br />Helrigeralion <br />Woodstove <br />CITY OP HV[RETT LOCAL SALES TAx CODE IS J105 <br />� I hereby certity Iha� I have iead and examined Ihis applicalion and kno�v the sanie lo be irue and corred. All provisions of laws and <br />� oidinances goveining Ihis lype ol woi k wili be complied with whelher specdmd herein or not The granting ol a permit does nol presume <br />lo grve authority �o viola�e or cancel Ihe provision of any other sta�e or local law regulating construction or the performance of <br />� cnnstiuction That I am aidhonzed by Q�e owner ol this property lo perlorm Ihe work lor which applica6on is made and I comply wi�h the <br />I State Contraclois La�v 18 27 RCW and 296 200 WAC. <br />' .�'i' ,/-.. �� � <br />_ ./i«_.�� _ - — <br />I/z <br />