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SITE ADDHESS <br />lOT NO. <br />Z <br />TENANTNAME <br />CONTR. LICENSE # <br />USE OF BUILDING <br />' 2E-fPrl�- <br />PERMIT APPLICATlUN <br />I:ITY OF EVERETT PERMIT SERVIrES <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 />BLOCK <br />tai Slitue7tu.� <br />PARCEL TAX I.D. q <br />TRACT OR SUBOIVISION # <br />FOH PERMIT <br />Qj,"js (.���W..�S 2h fZ�Df-b10� Wh <br />`� E�SZ <br />.-� � ��� .-. % <br />HEATSOUR4E <br />_ Electric ]� Gas _ O�her <br />P RMIT # � <br />� U �i%J <br />PHONE <br />�N C.�.`lZ�dao `lh`I'(02? <br />ioN}¢25-ZS9-o �oB <br />Ma� I�ae.o-(� P,N Ne�e.N .ut� <br />--�Ffo <br />Q25 • Q0'3-02�'� <br />CONTRACT PRICE OF WORK <br />� I��I.�D�_ <br />WORK DESCRIPTION ���L <br />c¢e�� Z,�92 sF s"�- �'�� �'� Cz) �es�rc�rs rw: w-� M� <br />PLUMBING <br />NO. I TYPE OF FIXIURE OR ITEM <br />Toilet <br />Ba�hWb <br />Lavatory (wash basin) <br />Shower <br />I<itchen sirk & di:posal <br />Dishwasher <br />Clothes washer <br />Waler heater <br />Sink (;ervice�badmop/etc.) <br />Backflow preventer <br />Urinal <br />Drirking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. I NPE DF FIXTURE OR ITEh1 <br />_ IAIC - air hzndlinc� units <br />forcr,d air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Ctathes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Uc'.t heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />I hereby cerili(y Ihat I have read and examined this application and knov: the same to be true and correct. All provisions of laws and <br />ordinaces poveming �his �ype of work will bc complied with whelher speciPed herein or noL The granling el a permit does nol presume <br />to give authonty to vio!a�e or cancel Ihe provision of any olher state or lor.a' law regulating cons�ruction or tl�e pedormance of <br />conslmdion. That I a rized by ihe owner ol �his propehy to perform Ihe work for v+hich application is made and I comply wilh the <br />sinrtfIIantraators w 18.27 CW and 256.200 WAC. <br />