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SITE ADDRESS� <br />, <br />LEGA LOTNO. <br />DESC. <br />OWNER <br />// �r�t}.i <br />TENANT�/�,�{ <br />1 I <br />C�1% <br />CONTR. LICENSE R E <br />USE OF BUILDING <br />�z=-�1P. �>/i� <br />PE�MIT APPLiCATION <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 />TAX <br />BLOCK 1 TRACT OR SUBDIVISION N <br />�O� f�rt�%!�� <br />��'�i� Gti'�" `� %��, � <br />HEATSOURCE <br />Eleciric �Gas _ Other <br />WORK DE `lO`�ION I�MA/i% � <br />tn! l!'li �iv'f2ff _ Gi� lZ��✓� <br />��� �%� �V �"`�� �lC�' l���Z� q �����i�/ <br />NO. � TYPE OF FI%TURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shawer <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (servico/bar/mop/elc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />PHONE <br />� <br />M <br />i9 � <br />C iiACT PRICE OF WORK <br />��-��n <br />'!�� � �Ol9✓G'f� Y"�7� <br />��JG'��-�' E%1Pi <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C — air hantlling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhausl lan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritity Ihal I have read and examined this application and know the same to be irue and correct. All provisions of laws and <br />ordinaces governing Ihis type of work will be complied with whether specified herein or noL The granting of a permit dces not presume <br />to give aut1�riry to violate or cancel Ihe provision of any other slate or local law reguiating construction or the pertormance of <br />consiru�k6 fii i ulhorized by �he owner of ihis property to perlorm ihe work (or which application is made and I comply with the <br />State ¢"o actor�Lpw 1.?,YA a 6.2 , WAC. <br />