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06/27J20�B 14:05 4256736373 <br />SITE ADDRESS <br />LOT <br />DESC. <br />LQH <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE7T, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS AF;E ACCEPTED FROM 8 AHi TO 4 PM <br />BLOCK <br />V \ PJ�� �� � � �. CQ <br />TENANiNAME <br />N� <br />"T T R Vevr� CY1 ��tt <br />USE OF BUILDING <br />�c� <br />PARCEL TAX I.D. ii <br />OR <br />�/ l�.E, U �j <br />CONTACT FOR PERMIT <br />-IJ'�'0.ru� � <br />M <br />HEATSOURCE <br />J Electric _ Gas _ Other <br />WORK DESCRIPTION <br />�=h'10, �� OYl l7-� b�,�. t �� � �� <br />N0. I TYPE OF FlXTURE OR ITEM <br />= Balh b <br />_ Lavato (wa <br />�, Shower <br />Kitchen sin � <br />Dish�vasher <br />Clolhes wast <br />Water healer <br />� Sink (service, <br />basin) <br />disposal <br />Backilow preven[er <br />Urinal <br />Drinking Founlein <br />Floor drain <br />Greasotrap <br />Roof drains <br />Other <br />CITY OF <br />PHONE <br />PAGE B2/d4 <br />6-3E-0� <br />PERMIT it <br />�D�t� �iP`C4;•`i <br />�,�� qso �a <br />�e..K_ uas • � �-( • I � I <br />CON7RACT PRICE OF WORK <br />►vl � <br />N0. I� TYPE OF FIXTURE OR ITFM <br />A/C —�y'�r handling units <br />Gas piping� <br />Water heater <br />Ges (ireplaoe <br />Gas ranga <br />Clothes dryar <br />Range hood <br />Exhausl tan <br />Heat pump <br />Unit heater <br />Boiler <br />Rofrigeration <br />Woodstove <br />LOCAL 3ALE-S TAX COOE IS 3f05 <br />I haroby cerility that I havo read and oxamined this applicalion and know the same lo be true and correcL All provlsions of Iaws and <br />ordinaces governing :his type of work will be complied with whether specified herein or not The grantlng �f a permit does not presume <br />to givo aulhodry to violale or cuncel ihe provislon of any olher state or iocal law regulaUng constnietlon or the perlormance of <br />consUuction. That I am author!zed by the owner o1 Ihis property lo perorm lhe work for which application is mPde and I comply wilh the <br />Statg�Contraclors Law 1827 j,3CW and,2�6200 WAC. , � <br />,: <br />