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SITE ADDRESS <br />LOT NO. <br />PtRMIT APPLICATIUI�� <br />CITY OF EVERETT PERMIT SER�r'ICES <br />3200 CEDAR S7REET, 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 />T�2L� Zar�.� Kt,:, T' l,�.G' <br />TENANT NAME <br />ToVS - <br />I�F ��T �EC►fr4N1 C�i(, 2NC • <br />CONTR. LICENSE tl <br />USc OF BUILDING <br />PARCEL TAX I.D. # <br />TRACT <br />��934b <br />g-ly�oq <br />PER IT # <br />96�- � <br />ON� „�'aF�KEY �y t,p�Y,Uf , Ill1 G�Y7�� - <br />� (.�'YTACT FOR PERMIT PHONE <br />WORKDESCRIPTION `,�/�� r:0�i �11tF. <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toile� <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Laundry tray <br />Sink (service/b�r/mopletc.) <br />Backflow prevenler <br />Urinal <br />Drinking Foun�ain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />DoqC� �'R,oN��t <br />ADDRESS <br />9�30 1�3A0AvE•NE <br />HEATSOURCE <br />_ Electric � Gas <br />CITY/ZIP PHONE �y�j � <br />(�DWtowh �jO,SZ � <br />CONTRAGT PRICE Or WORK <br />O�her .� �Z�s3�•�� <br />CN�}NGcvccr oF G) 7S 7oN %LTZt�R�bF TDI LtMT <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — air handling unils <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />G�s range <br />Clolhes dryer <br />Range hood <br />Exhausl fan <br />_ Heat pump <br />Unil healer <br />Boiler <br />Refrigeralion <br />Woodstove <br />Other <br />� z��� �.tw <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined lhis application and know the same to be true and correct. All provisions o` laws and <br />ordinaces governing this type of work will be complied wilh whelher specified herein or noL The granting ot a permil does not presume <br />lo give aulhority to violate or cancel Ihe provision of any olher slate or local law regulating construclion or the performance of <br />construction. Thal I am aulhorized by the owner of this proper�y lo perform the work for which application is made and I comply wilh the II <br />Sta�e� to�W 1 27 R$ CVJ�nd 296200 WAC. � <br />� `tii ``�\y�ey�, <br />Signature of OwnedContractodAuthor¢ed Agenl ate <br />