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SITE ADDRESS <br />LEGAL LOT NO. <br />DESC. � <br />I�LRMIT APPLICATII,N <br />CITY OF EVERETT PERMIT SERVICES <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 />PARCEL TAX I.D. # <br />�c�l Ooy968oiooe <br />BLOCK TRACT OR SUBUIViSION # <br />O/L� n-oo .CAlrRGZ Nt/6y <br /># <br />Pf.�/.tL � fSryEx yuSa� S"7,�7 .Coaecc, 2� EU�.CE�IUA �y%�s� �3-9663 <br />TENANT NAME I CONTACT FOR PERMIT PHONE ���. g 70 - 7G 7Z <br />' DAr✓son/ <br />N/A �%A=� E•MAIL <br />.,�-- <br />CONTR. LICENSE il �D/�J�Du>N� � <br />USE OF BUILDING <br />�QrS/OL�/� <br />HEP.T SOURCE �4��� P�T F WORK <br />Eleclric Gas Other --� a <br />�. _ ,�0� o0 o m - <br />WORK DESCRIPTION /,�� � �p,��'JL7'� '� <br />/! l�G ti wJ <br />`/!/L.r/ �ODd'J �/L � '�''c" "L- <br />J <br />NO, � TYPE OF FIXTURE OR ITEM <br />� <br />� <br />Tailet <br />BaIh1� � <br />Laval�ry (wash basin) <br />Shower <br />Kilchen sink 3 disposal <br />Dishwasher <br />�lolhes washer <br />W aler healer <br />Sink (service/badmop/etc.) <br />Back(low preventer <br />Urinal <br />Drinkin� Founlain <br />Floor drain <br />Grease trap <br />Roo� drains <br />Olher <br />G c" <br />O UL�- <br />��n� �� � rt�bM <br />NO. I TYPE OP FIXTURE OR ITEM <br />A/C - air handling unils <br />�orced air systems <br />Gas piping � <br />� Water heater ` <br />� Gas fireplace �9 <br />Gasranye <br />C!olhes dryer <br />Range hood <br />Exhaus:fa� <br />Heat pump <br />Unit heater <br />Boiler <br />� Refrigeration <br />Woodstove <br />CI1Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />� <br />I hereby ceritify lhat I have read and examined this application and know the same to be true and correcl. All provisions of laws and <br />ordinaces governinc� lhis rypa o( work will be complied wilh whether specified herein or noL The granling of a permit does nol presume <br />to give authority lo violate or cancel lhe provisie: � of any other slale ur local law regulating conslruction or the performance of <br />construclion. That I am authorized by the owne; _-!his property to perlorm lhe work tor which applicalion is made and I comply with the <br />Slale Conlroclors Law 18.27 �CW and 296.200 WAC. <br />�t%�"�'Q-%sY�%� 2-/ g• � vo <br />Signature of OwnedCd tfaclodAuthorized Agent Dale <br />. �12 <br />— <br />ia�, r��s�� <br />