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SITE A�DRESS <br />LOT N0. <br />ia � s-�-, <br />TENANTNAME <br />F �RMIT APPLICATI`,N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL iAX I.D. # <br />� G�9�vE <br />BLOCK TRACT <br />AO�RESS CITYIZIP� <br />Ls C�c /,Z/�'d/ccqG�G�.�,�'0?03 <br />I CONTACT FOR PERMIT <br />cELd�G/�'�*� 5 � • �f�T 'fl/c <br />CONTR. LIcCE-yN1SE f{ <br />��/'��S � .Z�-O � — <br />USE OF BUILDING <br />ADDRESS CITYIZIP <br />�/,�o P•9��.rc r'Ic�- C-v r8�� <br />!'f�S///���'Z I <br />WORK DESCRIPTION <br />�qs ,�,�.�� � Ou �� <br />NO. ' TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhlub <br />Lavatory (wash basin) <br />Showor <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Laundry tray <br />Sink (service/bar/mopletc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Fioor drain <br />Greaso trap <br />Roof drains <br />Olher <br />H[P,f SOURCE <br />_ Eleclric �Gas _ Olher <br />S-ls-D6 <br />PERMIT # <br />V�d(cG5 �U3 � <br />i.�.7 - <br />PHONE <br />PHONE <br />,2�� - 3/i y� <br />CONTRACT PRICE OF WORK <br />'`y��/, �-P D <br />NO. I TYPE OF FIXTURE OR ITEi i <br />A/C — air handling units <br />T Forced air syslems <br />'_„{ Gas piping <br />Water heater <br />Z Gas fireplace <br />Gas range <br />Ciothes dryer <br />Rangehood <br />Exhaustfan <br />Heat pump <br />Unit healer <br />Boiler <br />Refrigoralion <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />r <br />I hereby ceritify lhat I have read and examined lhis application and know lhe same lo be lrue and correct. All provisions of laws and <br />ordinaces governinc� this typo of work will bo complied �vilh whether spocifod herein or not. Tho granling of a permit does not presume <br />to givo aulhoriry to violale or cancel the provision of any other slate or local law regulaling construction or the performance of <br />conslruclio�That I am aulhorized by lho ownor of lhia property to pertorm lhe work for which applicalion is mado and I comply with Iho <br />State�ontr tors Lavt18.27 RCW and 29�.200 WAC. <br />S �� — <br />