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SITE ADDRESS <br />I.EGAL� LOTNO. <br />DESL'. <br />0 <br />� <br />PERMIT �PPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — vrvow.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />�j�;�,�Ci�J PARCEL TAX I.D. N <br />TENANT NAME�.� i�,vay N e ��e� <br />A11�lw�tn c,�� <br />�� a ew� � � (�- �o <br />CONTR. UCENSE 1! �J'^ �\ i U' 1� <br />17 � U 1 Y <br />USE OF BUILDING <br />TRACT OR SUBDIVISION R <br />� CONTACT FOR PEP.MIT <br />F��,i sz��z <br />PHONF <br />`8—/�—/!� <br />Rnnrc a <br />) l nn�c _ c� � �o <br />�Sea�� I <br />ce.M <br />,nL, sc�)e I�''� ��l.�Ty dn6 b�`��/6/ <br />� 133y <br />� 1� � <br />HEATSOURCE <br />_ Electric _ Gas _ Olher <br />WORK DESCRIPTION ��� ', 1� 11 5`("/,� J <br />W �ji� <br />N0. I NPE OF FI%TI�IRE OR ITEM <br />Toilel <br />6alhlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />— Clothes washer <br />— Wa1er healer <br />Sink (servicel6admoplelr..) <br />8ackllow prevenler <br />Unnal <br />Dr�nking Pounlain <br />Floor drain <br />Grease trap <br />Rool drams <br />Other <br />CONTRACT PRI� OF WORK <br />�� � <br />rvo� e1 eC.��w <br />N0. I TYPE OF FI%TURE OR ITEM <br />NC - air handling units <br />Forc�d air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Rangehood <br />Ezhausl fan <br />Heat pump <br />Und healer <br />Boi�er <br />Refr'geraUon <br />Wood:tove <br />Olher�� h% — <br />CIN OF EVERETT LOCAL SALES TA%CO�E IS 7105 <br />I hereby cerlify Ihal I have read and ezamined this application and know the same to be true and correcl All provis�ons of laws and <br />ordinances c�overning �his rype of �vork �vll 6e complied vrilh vdiether speciGed herein or no4 The granting ol a permil does nol presume <br />to give aulhority Io violate or wncel the provision of any olher state or local law regulaling construction or Ihe performance of <br />cons io T�}}(,l I am ¢ed by lha ovmer ol this property lo perlorm Ihe work for which applicalion is made and I comply wilh the <br />St�n�ci/! La• 1�7 W i 29�.-�-C I� � 1/I �� <br />� �Z <br />