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SITE ADDRESS <br />�i% .�U 7 <br />LEGAL i0T NO. <br />DESC. <br />9WNER <br />��c;��Qlc� Gree,�e <br />TENANTNAMc <br />P�RMIT APPLICATIUN <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 I.D. N <br />��.5'�� DC;1 <br />BLOCK TRACT OR SUBDIVISION M <br />CONTACTFOR <br />;J -� <br />�`��l�Ji'ii�t <br />PHONE <br />CONTR.UCENSEN �,�. C(�iY�S/� ��� •�'i�LDI�lJ�S%� �C/�� <br />USE OF BUILDING <br />J /' �C <br />WORK DESCRIPTION <br />l�X.� � A �v � 7���� ��;�� <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />�� Toilcl <br />E3allitub <br />j�_ Lavalory (wash basin) <br />�� Shawer <br />Kilchen sink & disposal <br />Dishwaslier <br />Clothes washer <br />Water healer <br />Sink (servico/bar/mop/elc.) <br />Backllow preventer <br />Urinal <br />Grinking Fountain <br />Floor drain <br />Grease Irap <br />Roo( drains <br />Olher <br />HEATSOURCE <br />Eleciric _ Gas _ Olher <br />I �UU'�U "� ' v(.1? <br />PHONE <br />v�.s =�.�2-�o�y <br />y,�s-„�9v �t�o <br />n/�I,J �11 �5�1/[��.l.c <br />��s -a� <br />�� � y �� <br />'RACT PRICE OF WORK <br />(�l 1�rl���V <br />/Lr),1'/� �l�UP/�( /�i%%/� `6- d'"X/� �dvPi'G'v�'/' <br />� <br />NO. � TYPE OF FIXTURE OR �TEM <br />NC - air handling unils <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fimpl2ce <br />Gas range <br />Cbthes dryer <br />Range hood <br />Exhausl fan <br />Heat pump <br />Unil healer <br />�oiler <br />Refrigeralion <br />Woodstove <br />Olhar <br />qTY OF EVERETT LOCAL SALES TAX COUE IS J105 <br />I hereby cerilify thal I have read and examined lhis application and know the same to be Irue and correcL All provisions of laws acd <br />ordinaces goveming Ih�s type of work �vill be complied with whethor specified h�rein or noL The granting of a pemiit does not presume <br />to give aulhority to vio�a!e or cancel the provision ot any olher slale or tocal law regulating consWction or the peAormanco of <br />construclion. Thal I am -�ithorized by the owner of Ihis properly lo periorm the v�ork for which application is made and I comply with the <br />Slale Conlractors I,aw �b.27 RCW and 2J�.200 WAC. <br />/I A1 `r� � ��' �/� <br />. ,.1. .IIA/ [ �� M.iM 0. "I "/�/ �N <br />1I/ <br />