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SITE ADDRESS <br />� "c'_2'3 Oo <br />LEGAL LOT NO. <br />P�RIVIIT APPLICA�tI�N' <br />CITY O� EVERETT PERMIT SERVICf=S <br />3200 CEDAR STREET, EVERETT, WA 9P,201 <br />425-257-8810 - FAX 425-257-8857 - www.eveic!riva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK I TRACT <br />PARCEL TAX I.D. # <br />2l <br />��3ulYf: <br />�� <br />1��=` .��'2.��-�:' �'w���Y�R.s �.-Lc. t2iq9 �i�u._c�C�� Mvk� l'�O WQ• �.�- J <br />� c_��.,rt� PL.'�'w� `�P�2,S �4�a•otbl <br />TENANTNAME CONTACTFORPERMIT PHONE <br />' � �� � ; l..J\ �? 'i'�',�.�-tl�� ♦ �'{`Z�J� 7 `�J- �:_.7�� � <br />CONTRAC70R ADDRESS � CfTY21P PHONE <br />CONTR. LICENSE # ' <br />USE OF BUILDING <br />12.�5� O�� �1 A.L <br />WORK DESCRIPTION <br />NO. <br />S.F <br />��r�r-�(�; ��Ic�r-� <br />t:� F, 2-A C� L=. <br />TYPE OF FI%TURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />BackOow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Othsr <br />HEAT SOURCE <br />Eleclric _ Gas _ Other <br />NO. <br />CONTRACT PRICE OF WORK <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gasrange <br />C�olhes dryer <br />Rango hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiier <br />Refrigerelion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify lhal I have read and examined this applicalion and know lhe same lo be irue and correct. All provisions of laws and <br />ordinaces goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to givo autliorit violate or cancel the provision of any olher slate or tocal law regulatinc� conskuction or the performance of <br />conslruction.'fltat am 9uthorized by the owner of this property lo peAorm the work (or which appiicalion is made and I comply with lhe <br />State Contractors av✓�182�RCW and 296.200 WAC. i <br />"t,lj'11os <br />��z <br />