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� runrn�n <br />SITE ADDRE3S <br />I SE ��e� <br />LEGA LOTNO. <br />�YQ <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.evere[twa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />y �t <br />BLOCK <br />PAR�EL TAX I.D. It PER1�11T Y^ <br />a�s ��s �ct��yco ,,7 ��;, �-25 <br />TRACi OFi SUBDIYISION p <br />�pr�p (ti'�rvt�-�-�C. <br />TtNANT NAME CONTACT FOR PEHMIT <br />�rR+'�fl�.�oE's Sc-�-�u�5-}- <br />'�wF�ii�Udk} 1v1c�, �4i� s. �q <br />CONTR. LICE7JSEC f� nO�-�- S� �iO(�Q A <br />��-+.. <br />USE OF BUILDING <br />HEATSOURCE <br />Electric _ Gas _ Other <br />PHON£ <br />�/� �J 2� N �7 <br />CONTHACT PSICE OF WORK <br />�f3/�O,°O <br />WORK �ESCRIPTIDNTfG(i� Df'-� � L' �� f� P�S�iI �� �n� ��t�� <br />Pvtv�jlass a��U.-+'�,�-c.la�-e� M a�li ��d r3i tu� 'nn,w�brr�-✓11�. <br />P�-�,oYe�" 2�l-��{�� wT� ��-��c.SS °lj�fzvU�e��;�' r�R���ie� <br />'�3-. : -!� a .w� n �n v�n o .viti.� ✓'/'A ,1/�.Q_, <br />N0. � NPE OF FIXTURE OR ITEM <br />Bethlub <br />Lavatory (wash basin) <br />Shower <br />Kitchan sink 8 disposal <br />Dishwasher <br />Clothes wa6her <br />Wator henter <br />Slnk (servicolbur/mop/elc.) <br />Beckllow provenler <br />Udnal <br />Orinking Founta(n <br />Floor draln <br />Grease trap <br />Roof drains <br />Other <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />A/C — oir handling i <br />Forced air systems <br />Gas pipinfl <br />Water heater <br />Gas fireplaco <br />Gas rzngo <br />Clathes dryer <br />Range hood <br />Exhauslfan <br />Heat pump <br />Unit heater <br />Boilor <br />Refrigeration <br />Woodslova <br />CIN OF EVEflETT LOCAL SALES TA7( CODE IS 3105 <br />f hereby cerltity that I hava reed end ozamined ihis application and know the same to he truo and correcl. All proNsions of laws and <br />ordinaces goveming this type of work will bo compllad with whethor specified herein or nol. The grantlng of a permit does not presume <br />to glw authorfty lo v(olnte or cancel the provlslon of any other state or local law reguiating conslructlon or the perfortnance of <br />consVudlon. That 1 am aulhorized by tha owner ol this property to pedorm lhe work for which application is m2de and I comply with the <br />S�tato cC'ontranclorsJ.aw�&27 and 2p6.200 W . <br />7��\ �. 1 1 �/1 e 1 p vl �J' 1(�� <br />Z•d BbEZSELESZ �NI 1HJI1 �0021 Wd94�Z SDOZ 8T �eW <br />