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� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, YJA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />2! JrD Ev6�RE-rt H!H �-��J.tY EVE'2E7i PARCEL TAX I.D. � <br />98ao8 bb Y8o �� l aOl <br />LEGA LOTNO. BLOCK 7RACTORSUBqNS10NR <br />DESC. O I� � �:. T � <br />""""' ,S'i3f �npi�rfie�Z CR, iZD <br />��'iZCs I L SGOTr < <br />7ENANT NMAE <br />��� i L L G�S.ci./-A•�M <br />�tleoN syST�/''� <br />co►m+.ucerose�r�/£o�SroGG Pr1 <br />USE OF BUILDING <br />CONTACT FOR PERMIT <br />EiZ�-' � Lo ir <br />f/ao9 �3Saw P� sc <br />�VI i LG G',c'£�K, r,uM 5 <br />HEAT SOURCE <br />Electric _ Gas _ Other <br />/Z--- �—O �J <br />PE MRq � , <br />� �// � , <br />�oney�iS-3�9 _y6s3 <br />1�su I,��.91�,�9� <br />�a,E yl� s_ s s3 - y,�s <br />YaU�Gn/A�rn�t GVE�CnT <br />o��a MS T <br />yas-sai -��i�7 arr <br />/l <br />CONTHACT PRICE OF WORK <br />i� �� � <br />WORK DESCHIPTION C /T�� S <br />� ,v s ; ,�, � � e �� �r � � � � <br />NO. � 7YPE OF Fll(TURE OR ITEM <br />Toilet <br />8athtub <br />Lavatory (wash basin) <br />Shower <br />_ Kilchan r�k & disposal <br />Dishwas �r <br />Clothes�ashcr <br />Water healer <br />Siak (service/barlmop/etc.) <br />�ackflow proven�er <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Rool drains <br />Olher <br />Np. � TYPE OF Fll(TURE OR ITEM <br />A/C — air hardling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas lircplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhauslfan <br />Heat pump <br />Unit heater <br />Boiler <br />ReMgeration <br />Woodslove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritity Ihat I have read and examined this application and know lhe same to be true and conecl. All provisions of laws and <br />ordinaces governing Ihis type of work will be complied with whether specified herein or nol. The granting of a permit does not presume <br />lo give aulhority lo violale or cancel the provision of any other stalo or local law regulafing wnsWction or the podormance of <br />consWction. Thal I am authorized by th owner ol this property la pedorm ihe work tor which appiication is made and I c:omply wilh the <br />Stale C991racro s 18.27 RCW and 200 WAC. <br />/ � <br />/ .D <br />ure of adConlr orized Agent �a(o <br />'lZ <br />