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SITE ADDRESS <br />� .r 30�3 i <br />LEGAL LOT NO. <br />DESC. '� ,� fi <br />OWNER <br />��J o1 Q� S O V t1 (.� <br />1 <br />PtRMIT 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 ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />`7dZ 3 <br />k �d' <br />ITRACT OR SUBDIVISION # <br />ADDRESS <br />,7TEr' �OC�$ C�wC��� <br />rn <br />PERMIT# t7o3 <br />i�103'� <br />- �'�'�.S�S9S�� <br />TENANT NAME CONTACT FOR PERMtIT PHONE rf� S 3 3 C� J%// <br />I S0.W. ViBW 4[�.v�� E-MAIL 0.N��Y1�W'�CC��^��� <br />��A / I $ TT4J2" _ "_'"_ (�e �n 0 . L 0 <br />�,Jreck��n.5 �r.�li �,Lc.ol��loca 'Sslo ��.c.��fiv'(' �'efCi`4620� <br />CONTR. LICENSE#� 4as- 3�'% ' 3�11 <br />�..� 2 F c t� a � o a s� N� — — <br />USE OF BUILDING <br />WORK DESCRIPTION <br />7e. n.�� l� s G. <br />HEATSOURCE <br />Electric Gas Other <br />I�,.;�sc, y�tra5e �i�� ���.������ <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilel <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/elc.) <br />Backflow prventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air hand�ing unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this lype of work will be complied wilh whether specified herein or not. The granting of a permit does not presume <br />lo give aulhority to violale or cancel lh sion of any olher state or local law regulatlng conslruclion or the perfortnance of <br />conslruclion. Thal I am aul rized b he o er of lhis propeAy lo perform the work tor which application is made and I comply with the <br />State Contrectors LaW 1.27 C and 200 WAC. <br />� l� <br />� <br />