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Apr 27 11 1139a Washington Water F:eaters 8663757454 P Z <br />PERMIT APPLICA��ION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www•evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS � PARCEL TAX I.D. # <br />�;�'li) Lo1C:L'I� �aI?� � ��''�`�5`.'�c!�'��'�'7�'�' <br />LEGA LOTNO. BLOCK TRACTORSUBDIVISION,Y <br />l� r��; rn c.! t.��z ��� � <br />7ENANT NAM <br />CO�NT'Ft�c,lII11�JjTVI" I'U/1��+l�-�� <br />w v <br />CONiA.LICENSE � �� O P <br />f,11 ft5 — <br />USE OF BUILDING <br />1�'f' `;1C'.l ; ,�'1�"1 G�.� <br />WORK DESCRIPTION <br />(�.i'�G��v1f�. �; �,;�-�- <br />NO. I TYPE OF Fl7CTUflE OR ffEM <br />Toilet <br />Bathlub <br />Lavatory (wash basin) <br />Sho�cer <br />Kiichen sirk & disposal <br />�ishwasher <br />Clolhes washcr <br />Waier heater <br />Sink (servicelbarlmop/e�c.) <br />Backflaw prevenlor <br />Urinal <br />Orinking �ountain <br />Fioor drain <br />Graasetrap <br />Roof drains <br />Olher <br />c� <br />{�IJ <br />&Lt,l � t� <br />�c�ev� <br />HEATSOURCE <br />_Eleciric �Gas,_Other <br />�°G� `�11�� <br />, <br />PHONI <br />E�NAII <br />" f�/ <br />ul� 9�5 <br />11 1/D �D <br />)NE ' ._`? / <br />:�•.� 3-G��>> <br />i-q7 � �' <br />,,,���vu� e <br />CONTRACT PRICE OF WOHK <br />� If3� <br />S ���-'�'..�..T ��ti.0 Ct �-��- <br />NO. � T'PEOFFlXTUREORREM <br />A/C— air handling units <br />�orc?d air systems <br />Gas piping <br />Walar heater <br />Gas ti2place <br />Gas range <br />Clothes drycr <br />Range hood <br />Exhausttan <br />Heat pump <br />Unit heator <br />Boiler <br />Retrgeratlan <br />Woadstove <br />Othcr <br />CRY OF EVEREfT LOCAI SALES TAX CODE IS 3105 <br />f herob�: cen.�fy that I have read and examined this application and know the same to bo lruo and conecL All provisions of laws and <br />ordinaees gov,•ming Ihis type of work will be complied with whether specitied herein or not. Tha gran!ing of a pertnit does nol presumo <br />to give authoriry to viola[e or cancel the provLsien ot any other state or locaf law regulating construction or the pedormance of <br />construction. That I am aulhorixed by tha oxmer ol this properry to per7ortn the work for which application is made and 1 compiy with the <br />S1a�e Convactors I,aw 1827 RCyy and 29G20�g WAC. �� , �� <br />