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SITE ADDRESS <br />�� <br />LtGA LOT N0. <br />DESC. <br />OWNER <br />�f D �zFe <br />TENANTNAME <br />pERMIT APPLICATION <br />CITY OF EVERETi PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��� l��� <br />PARCEL TAX I.D. # PERMIT fl <br />:.��(���-1 r�G 6f a.-�l <br />BLOCK 7RACT OR SUB�IVISION # <br />ADDRESS CITYIZIP PHONE <br />� ��/i/c� �tS <br />I CONTACTFOR PERMIT PHONE <br />�/!!�(S�' CL�A%Eii <br />Jn15'�,y� /'/�,���. pi <br />CONiR. LICENSE N <br />,C�dDrii /'.� ��7C � <br />USE OF BUILDING <br />�<'t li r-I r� <br />WORK Dt�SCRIPTION <br />N0. I TYPE OF FIXTURE OR ITEM <br />L <br />- �. <br />7 <br />__ <br />_L <br />_L <br />1— <br />Toilet <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & dispcsal <br />Dishwasher <br />Clothes washer <br />Water healer <br />Sink (service/bar/mop/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Founlain <br />Floor drein <br />Grease trap <br />Roof drains <br />Olher <br />f,�.i,.' i�.,,�' <br />HU�lit55 � <br />2- S JJC� / Z I�� <br />H[ATSOURCE <br />Electric Gas Other <br />�r�/;�L/i�7frC1'7 !J 2� <br />CONTRACT PRICE OF WORK <br />NO. I IYPE OF FIXTURE OR ITEM <br />NC — air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas freplace <br />Gas range <br />Clothes dryer <br />Ranc�e hood <br />Exhaust fan <br />Heat pump <br />Unil heater <br />Boiler <br />Re(rigeration <br />Woadslove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />I hereby ceritify lhat i have read and ezamined this appl�cation and know the same ;o be true and correcL All provisior.s of laws and <br />ordinaces goveming 'his rype of work will be complied wilh whelher speci!ied herein or nol. The granting o( a permit does nol presume <br />to give authoriry lo violate or cancel tho provision of any other state or local law regulating construclion or the pedormance o( <br />conslruclion. Thal I am authorized by lhe owner o( this property to perlorm the work for which application is made and I comply wilh Ihe <br />Stale Conlraclors La/w.18.27 W and 296.200 WAC. <br />���/,: f,,.. l '�� /Z- Z`'i -O � <br />