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SITE ADDRESS <br />jL0 $ i/�J � <br />LEGA LOT NO. <br />FtRRSITY+ <br />TENANTNAME <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 ACCFPTED FROM 8 AM TO 4 PM <br />.ET T N�yLL <br />BLOCK <br />p �...�.��Y <br />[Y��s'riE�-r�Na� coouuo- <br />CONTR. LICENSE # <br />USE OF BUILDING <br />- dFFrc� <br />PARCEL TAX I.D. # <br />� <br />TRACT OR :iUB01VISION p <br />ADDRESS <br />P, c�. D�oX 14 5` <br />CONTACT FOR PERMIT <br />�oxJ {/u' hPNk� <br />— DURES$ <br />5'00 �'ps c H�'tIN $T <br />NCAT pUH�ATSOURCE <br />� Eleciric _ Gas _ Other <br />�a —i 7-0 <br />PER�11T # <br />PHONE 3�'�7i�/'7��-r <br />E•FAAIL ROU <br />C��/'LI�Aa <br />F-t d N/�� g 6 0— <br />�tCsL7Z �� �1-7,id 6 <br />ONTRACT PRICE OF WORK <br />� ���5 �� <br />WORKDESCRIPTION /tiJSr�L K6H-r" ��/n� D/FF�JS�.CS <br />�/z� �- �-E S <br />iNG�.vnE ��-l-�Ti2r Grl� /,�o.2ct <br />�R.E��Rl�4/A4J t••��L� G�T H/S DE.eM/T <br />NO. � TYPE OF FlXTURE OR ITEM <br />Toilet <br />BathWb <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clo�hes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Olher <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Hange hood <br />Exhauslfan <br />I�eat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify Ihat I have read and examined ihis application and know ihe same ro be true and correcL All provisions o! law:. �nd <br />ordinaces govemin�t !his type of work will be c�mplied with whether specilied herein or nol. The granting of a permit does not presume <br />to give authority to wolale or cancel �he provision ot any other state or local law regulating construction or the performance of <br />consiruclion. Thal I am authorized by Ihe ov+ner of this property to perform Ihe work for which applicalicr• is made and I cornply with the <br />State Conlraclors Law 18.27 RCW and 296.200 WAC. � � <br />/Z <br />