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'� � � <br />LEGAL LOTNO. <br />pEcr <br />J <br />OWNE%R/ � CI � <br />�i✓h v� �� � <br />TF.NANT NAME <br />—� <br />CONTRACTO <br />iZ;.,�c- �'`"� ('°` <br />CONTR. LICENSE # <br />USE OF BUILDING <br />Cd / � <br />WORK DESCRIPTION <br />PERMIT APPL�CATiON <br />CITY OF EVERtTT PERh�IT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 Ah5 TO 4 PM <br />PARCEL TAX I.D. # <br />BLOCK �� TRACT OR SUBDIVISION # <br />PERMIT # � <br />po�c�3 v�i � <br />� <br />i <br />CITYlZIP Y11vnt <br />��,-�1 zy� �, �.�� �v'�y <br />CONT)ACT FC�R�ERM1I PHONE <br />�f� /�/�✓ �WvE'%2 <br />��� �?o. 351 <br />r!!e/ a1f�� �Y <br />NEAT SOURCE <br />_ Electric _ Gas __ Olher <br />Z �� Gf%f�'� �l"i2�; �c.� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (service/badmop/etc.) <br />Backtlow preventer <br />Urinal <br />Drinkinc� Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other _ <br />35� — `7'�'� � <br />�r,s�,r/v,�,J1 1 <br />���—�3 <br />C:UN I KAG 1 I'KII.0 vr vvvrtn <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handlin9 unils <br />Forced air syslems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Cas range <br />Clolhes dryer <br />Range hood <br />Exhaust tan <br />Heal pump <br />Unit heater <br />Boiler <br />Re(rigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />I hereby ceritify that I have read and examined this applicalion and know the same to 6e true and correct. All provisions of laws and <br />ordinaces governing this rype o( wo f will be complied wilh whether specified herein or not. The granling of a permit does nol presume <br />to �ive authority lo violate or canc the provision of any olher siale or local law regulating construclion or lhe performanr.e of <br />construction.�lial I�im au�riz J by the o�vner of this property to peAorm the work (or which application is made and I comply wilh lhe <br />Slate Contr t\ ya� 18. 7 R W and 296.200 WAC. <br />. _ , <br />