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SITE ADDRESS <br />7a,� L/�; <br />LEGA LOT NO. <br />DESC. <br />TENANT NAME <br />( <br />a <br />PERiVIIT APPLICaTION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEUAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8657 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM & AM TO 4 PM <br />/ `� PARCEL TAX I.D. # <br />V 7��-lidr'-DOv- .IJD�J <br />BLOCK TRACT OR SUBDIVISION k <br />,s/� 7 l.'�C� y ���F' <br />CONTACT FOR PERMIT <br />t�vrv I n/�� � un <br />�i/��`"�Ti ho'i�/i�G �v7"��/'r � <br />CONTR. LICEIJSE # <br />USE OF BUILDING <br />S`,�' <br />��L <br />HEAT 5 RCE <br />_ Eleclric _ Gas _ Oiher <br />WORK DESCRIPTION <br />����i���1a6�1 �,�/.rTi��G� .��.�ipE-�cE <br />NO. I TYPE OF FIXTURE OR �TEM <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />5�.� � �l <br />PERMIT # <br />��,5.-�G.S. //G� <br />PHONE <br />/�.�.�n�. c�.'�b <br />P ONE <br />CONTRACT PRIGE OF WORK <br />NO. I IYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />F�ced air systems � <br />�s piping <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />�aust (an <br />at pump <br />Unil hezter <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODt IS 3105 <br />I hereby cerlify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinances goveming this type of work will be complied with whether specified herein or noL The gran�ing of a permit does not presume <br />to give authonty to violate or cancel ihe provision of any olher slale or local la�v regulating cons:ruction or the performance of <br />construction. 7hat I am authorized by !he owner c�(this propeAy to perfonn the work for which application is made and I comply with Ihe <br />State CDrylrey(ors Law 1827 RCW and 296.200 WAC. <br />