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SITE ADDRESS <br />� �O�,i, �^a�ac�. <br />LEGAL LOT NO. <br />DESC. � � <br />RMIT APPLICA' <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 />Pcve <br />I BLOCK <br />PARCEL TAX I.D. # <br />I �O S\\QO000 �000 <br />TRACT <br />CCOs�o � E.CV `�TA�.Li 00'1 �Q-�-P�o� PUQ-. ,^r <br />`� �l �ve«.� 9B �o� �Sq 4490 <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />I CCY � Ci-a\�. CcoS�o� u�5 °i.S9�1�19U <br />coNrnncroe� d v-� � i (,,,,�,„ �iD7 ( I S i o� I 2_ -S -4- S'c_—ciTvr�i n,nn`( IAE Z� 21 2 Z' <br />_t, . `f' (�1 d'v�� r' <br />CONTR. LICENSE �� � 1 � i, <br />r�a 2 �c 2 �� i SE� q(-�- �//�, GG�� k&ro � � � <br />USE OF BUILDING <br />��� <br />HEAT <br />Electric _ Gas _ Olher <br />WORK DESCRIPTION 21 <br />,�it��icar�v �'-�h/ �' ' S f� <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />CONTRACT PRICE OF WORK <br />�`�S,qlo.� <br />NO. I TYPE OF FIXTURE OR fTEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas renge <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 TAX CODE IS 3105 <br />yii� � <br />I hereby ceritiry that I have read and examined this application and know the same W be true and correct. All provisions of laws and <br />ordinaces goveming this type of work will be complied with whether specified herein or not. The grantlng of a pertnit does not presume <br />to give authority to violale or cancel the provision of any other state or local law regutating constructlon or the perfortnance of <br />construcNon. That I am authorized by the owner of this property to perform the work for which application is made and I comply with fhe <br />State Contractors Law 18.27 P.CW and 296.200 WAC. <br />� ;� C-.itia-0'Y`a� i6/.,/,� <br />'/a ) <br />