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SITE ADDRESS <br />7 �1�.n _ / . <br />LOT NO. <br />PERMIT APPLICATION <br />CITY OF EVER�TT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETI�, 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 />BLOCK � TRACT OR SUODIVISION t <br />� G —� �%'�(J <br />PERMIT # ` <br />.��!��/% v'CI <br />Y"�7� 5» — <br />i�o�n WoI F� Z�3�-(��elr,� I�� E��, ��zo3 g�,oi <br />TENANTNAME CONTACTFORPERMIT � PHONE <br />c�uei� <br />VVI�IM1Ny1VR / NVVrtCJJ <br />C-7. $ S t�z;���� , la�/a C er�-. �1�0 E{4/;A1tJ �j <br />CONTR LICENSE #� SN�._r� �� ����I I �` � <br />USE OF BUILDING <br />WORK DESCRIPTION I � (�� ,� <br />i_ir- <br />����, �r� `�5�d <br />HEATSOURCE <br />_ Electric � Gas _ Other <br />TrJ K��� <br />FU RNA �� <br />NO. I TYPE OF FIXTURE OR IlEM <br />Toilel <br />Balhlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Waler hea�er <br />Snk (service/badmop/eta) <br />BackAow preventer <br />Urinal <br />�rinking Fountam <br />Floor drain <br />Greasetrap <br />Roof drains <br />Other <br />�y_ <br />'�S� <br />CONTRACT PRICE OF WORK <br />� 5`l5`�.�— <br />�l-l-�✓� <br />v ur. <br />NPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Waler ;ieater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range Y�oo6 <br />Exhausl Nan <br />Heat pump <br />Unit heater <br />6oiler <br />Refrigeralinn <br />Woodstove <br />Olher <br />CITY OF EVERETf LOCAL SALl:S SAX CODE IS 3105 <br />I hereby certify that I have read and examined !his appGcation and know the same to be true and correct. All prnvisions oF laws and <br />ordinances goveming lhis type of work will be complied with whether specified herein or noL The granting of a permil Aoes not presume <br />to give authority tc violate or cancel the provision oF any other sla�e or local law regula6ng construchon or the peAortnance of <br />construction. That I am authorized by Ihe owner o( ihls property to pertwm the work for which appllcation is made and I comply with the <br />