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SITE AC <br />�C� I <br />PERMIT APPLICATION <br />CYTY 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 I.D. # <br />Lvcrr`�2Bza� ��;���-- r�—�k <br />LEGAtJ LOTNO. / � BLOCK � �T��C <br />DESC.� g � <br />O',�WNER � p ADDF <br />i�i.V(2��n�tPi 1�'1��� ,�d�� Co <br />TENANTNAME <br />/�-v�, <br />Iq PERMR <br />6-a�-o7 <br />PERMIT # <br />181L3 425-4zz�1C87 <br />PHONE <br />� ,� <br />•• •• •��• •� <br />CONTR. LICENSE p �n`�,'�� l,�'�� <br />USE OF BUILDING `I NEA7 SUURCE CONTRNCT t�RICE OF WORK <br />j j 1 w� le %-+�s1 i�y' , T� �'�Q_ _ Electric � Gas _ Other <br />WORK D�s C I TION <br />��,� S t-Z; �� c� n 5 S ���t�� Va ( v��i ti <br />r1t'��� ,�i5 /Y1.�u �., ���1NeG �u5 <br />��� pef�r���y lta+�ow�2r <br />PLUM�ING <br />N0. I TYPE OF FlXTURE OR ITEM <br />Toilet <br />BathWb <br />Lavalory (wash basin) <br />Shower <br />Kitchon sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water healer <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Orinking Founlain <br />Floor drain <br />Grease trap <br />Root drains <br />Other <br />� x �3 �-+ ctas <br />/�r e�-orc�z <br />�n s t�I l�l��mc.u�e� <br />iL� <br />P r p `��, ��e �.�� <br />�lC� V L , V`-{'r <br />, <br />�`' w�c, <br />TYPE OF FIXTURE OR ITEM <br />A/C — air nantlling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas lireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Ezhaustfan <br />Heat pump <br />Unit healer <br />Boiler <br />Relrigeration <br />Woodstovo <br />Oiher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3f 05 <br />I hereby ceritity thal I have read and examined this application and know the same to be truo and correcL AII provisions ol laws and <br />ordinaces governing this typc ol work will be complied wilh whether specilied herein or not. The granting ol a permit does not presume <br />to give authority to violate or cancel the provision ol any other state or local law regulating construction or the perlormance of <br />construction. That I am authorized by Ihe owner ot Ihis property lo pertorm the work for which application is made antl I comply with the <br />State Contracrorr�Law ]A.2�? RCW and 298200 WAC. , , <br />