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SITE AODRESS <br />� <br />LEGAL LOT NO. <br />DESC. <br />r• <br />TENANTNAME <br />P�R6VIIT APPLICAT�ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everetlwa.org <br />� <br />APPLICATIONS ARE ACCEPTED fROM 8 AM TO 4 PM <br />BLOCK <br />PARCEL TAX I.D. tt <br />TRACT OR SUBDIVISION f7 <br />j355 <br />CONTACT FOR PERMIT <br />la1�Q0�1 �Gl'�t7 <br />6_a�-�3 <br />762r �.vrt( <br />P[RMIT N <br />K 12�`�' - <br />PHONE ���� ""'",Z�- <br />N <br />1 <br />TRACYOR nwnwo -•• � -� <br />n.azlu�,�Fsr FaE svsrEn4s "ISIb 5• I�G7�� ST I<�,f i`jSlb3z. ���-i1z-�soz <br />CONTR.LICENSEk �,���_„__�,„ <br />USE OF BUILOING <br />1�F�u � <br />HEATSOURCE <br />_ Electr.c _ Gas _ Olher <br />CONTRACT PRIGE OF WUHK <br />�S j,� �DD. OU <br />WORK OESCRIPTION . I' ,1". <br />/}AD � f�6Lo�.nr� M+� r�Jlt U� j� �i� S� �I.+ti�L� H��J ��- �,Jo��Ef� (Ir1fJ14� �: E <br />� r1Gr1 LL-i��N(�t� �,a��^-u Cnr.� 1[�J(lhTw�. <br />NO. <br />� <br />NPE OF FIXTURE OR I7EM <br />Toilel <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (servicelbar/mopletc.) <br />BackOow preventer <br />Unnal <br />Drinking Fountain <br />Fioor drain <br />Greaselrap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air bandling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unil heaier <br />Boiler <br />Relrigeralion <br />Woodstove <br />_ Other r1 Ri= �l71 �.1 �C6��; <br />CITY OF EVERETT LOCAL SALES TAJ( CODE IS 3105 <br />I hereby ceAify Ihal I have read and examined lhis appfcalion and know the same to be lruz and wrrecl. AII provisions of laws and <br />ordinances goveming this type o( work will be complied with whethcr specified herein or nct. The granting ot a permit does not presume <br />lo give aulhorily lo viola�e or cancel ihe provision ot any olher state or loa�l law regulaling ;,onsimction or Ihe periormance of <br />conctruction. Thal I am authorized by Ilie owner of this property lo perform �he work for which applicalion is made and I comply with Ihe <br />State Contreclors Law 16.27 R W and 296.200 WAC <br />�-- �� �� �'Z5�` �z � <br />n.—.—....(— n.,.��.1� ulhnrivad Anent Dale �� <br />