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SITE ADDRE� <br />� � <br />LEGAI LOT NO. <br />DESC. <br />NER <br />cx.1 � 1�1�` <br />TENANTNAME � <br />>�,� a.�� <br />�o�iAi�� A 4 <br />USE OF BUILDING <br />WORK DESCRIPTION (],h� <br />PERMIT 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 />�/C <br />BLOCK <br />1 �'Y i ��I - Z� <br />PARCEL TAX I.D. A <br />TRACT OR SUF3DIVISION # <br />5 �ou <br />CONTACTFORPERMIT <br />SAm� hS �� <br />J �_��Pl <br />k �, 3 6 <br />Z35� �i. Sw <br />HEATSOURCE <br />_ Eledric �Gas _ Other <br />> �, ��oN � �z�e <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Cbthes washer <br />Water heater <br />Sink (service/bar/mop/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Fioor drain <br />Grease trap <br />Roof drains <br />Olher <br />PERMIT S <br />C0� Ob - a63 <br />tlP PHONE <br />,�EP-�n' �7_0l 4Li -L�FI I% <br />PHONE <br />e.Ma� <br />� Zo6-(�- 4267 <br />�oi, nusb w4 5ko 2 i <br />I CONTRACT PRICE OF WORK <br />NO. I IYPE OF FIXTURE OR ITEM <br />�_ <br />�— <br />A/C – air handling units <br />Forced air syslems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />fieat pump <br />Unil healer <br />Boiler <br />Refrigeralion <br />Woodsrove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />I hereby ceritify that I have read and examined Ihis application and know the same to be true and correcL All provisions ot laws and <br />ordinaces governing this typs of work will be complied wilh whether specified herein or noL The granting of a permil does not presume <br />lo give aulhority to violale or cancel the provision of any other slate or local law regulating wnslruction or lhe periormance of <br />onstruction. That I am aulhor' .c�d by lhe o�vner of this properly to perform Ihe work for which applicalion is made and I comply with the <br />��la onlractors Law 18 CW and 296.200 WAC. <br />� . /��-� �- 2�-0> <br />�Z <br />