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SITE ADDRESS <br />� <br />LEGAL LOTD <br />OESC. � <br />OWNER <br />� f �n.,� <br />TENAMT NAME <br />PERIOIIIT APPLIC�ITION <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 />BLOCH I TRACT OR SUBDIVISION # <br />CONTACT FOR PERMIT <br />�� SM�u., <br />PERMIT # <br />-�✓c�rr � � s- a s� ���o <br />PHONE 3IcD'FJ �'GrQ�.• <br />CU��TR�ACT�R A�DRTE$S — CITYIZIP PHONE H-��T, GUM <br />Rl6NT IN�y Pt.wv�Rin�c:r �{c-A��n�r C�7-/� �a'�rsEr(�a..xi�r� sc�:+c- <br />CONTF.LICENSEtt ��C.��l�)u'�A 3�� ��--a�- <br />�7_fSii'_�� "7 7nl C ' <br />USE OF BUILDING HEAT SOURCE ,C�ONTRACT PRICE OF WORK <br />7r� � � � �� <br />�/f %� � /ur�.Jl _Electiic �Gas_Other (���� a�t} <br />/l.l'� � C I V/t' <br />WORK DESCRIPTION Cal l� �I,1 C�S <br />t N s�u-- 6 o i c.�ct- , C� (-t-a,,.. s � �a,�s, GA-s P� P��G, -4- <br />NO. � TYPE OF FIXTURE OR ITEbI <br />Toilet <br />Balhtub <br />Lavatory (wa•sh basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />BackOow prevenier <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Olher <br />NO. I TYPE OF FIXTURE OR ITEM <br />� <br />A/C - air handling units <br />Forced air systems <br />jGas piping <br />W2ter heater <br />Gas Greplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhausl fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodslove <br />Other NEAj ]�CD�Gdr l�c+�l7/1,41�,. <br />CITY OF EVERE7T LOCAL SALES TAX C09E IS 3105 <br />I hereby certify that 1 have read and examined this applicalion and know Ihe same to be true and wrrect. All provisions of lavs and ' <br />ordinances governiny ihis type of work will be compiied with whether specified herein er not. The graNing of a permit does not presume <br />to give euthority Io vielale or cancel the provision of any other s�a�e or Iocal law iegula6np construdion or Ihe performance of <br />construcGon. Tha I am auth by the oemer of this prope7y to periorm �he work for which application is made and I comp�y with the <br />State Contra rs L��v 27 RCW a d��0 wnc., � , �' -,--- <br />