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FrOm 1hiAC IflC. <br />SITE ADDRESS <br />LOT NO. <br />�� io:914252578A57 p6�120i3 1 2 01 -38a P 002/003 <br />PERMlT APPLICATION <br />CITY OF EVERETI" PERMIT SERVICES <br />3�00 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-� `7-8B57 — vnvw,everettwa.org <br />APPL�CATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOf,K <br />�= ✓�,e�Tr}�us'i,�/(r �9cr�!�; <br />PARCEL TAX I.D. # <br />TRACT OH SUBOIVISION tl <br />- 27�r, /5'�' <br />TENANT NAME COMACT FOR PERMfi <br />� �� <br />_........._._.. 1.n-rftc_. /N(_, <br />co�rtR. ucorse a /Mµe,z '"+� �. �� <br />6-a4 ��3 <br />PERh11Tp <br />P��a�-oo8 <br />�4�� 5�7,5-303 -�/3� <br />PMONE <br />�/�c� arrruP/n Li��Nr: ��O � <br />N��/DC�-b/ <br />/. �:.�✓C)r/ �2 � ]O/�' ' <br />USE OF BUILDING I MEAT SOURCE <br />✓Eleciric ✓Gas Othor <br />WORK DESCRIPTION //,�'��L �-��� Gy_V, � ,S-,ykYU�-.� �, <br />�iti/�S f0 4LL, � Jc�,,f��-S � — �~ .. <br />NO. f TVPE OF FlXTURE OR REM <br />r ionet <br />/ Ba1hNb <br />� Lavatory (wash basin) <br />, Shower <br />�_ Kitchon sink 8 disposal <br />' �Ishwashor <br />� Ciolhes weshOr <br />��, Water hoatcr <br />Slnk (service/bar/mopietc.) <br />6pckflow pruvunlar <br />Urinal <br />Dnnking Fountnin <br />Floor drain <br />Greaso Irap <br />Fioof dralns <br />Olher <br />CONTqACT PRICE OF WORK <br />P�G1V/!� ��'Fi-.� COPL�� <br />NO. I T/PE OF FlXTUqE Ofl REM <br />_ rvc — t�ir nandling uniLs <br />_ Forced air systems <br />_ Gas plping <br />` Water hoater <br />Gas lireplace <br />_ Gas renpe <br />Ctothes dryer <br />Ranpn hood <br />EaTaustlnn <br />Heal pump <br />_ Unit heu�or <br />BoilAr <br />Roldgeration <br />_ Woodstove <br />CfiY OF EVERETT LOClLL SALES TAX CODE IS J705 <br />I heroby centity Ihat I havo reatl and examined Ihls applicatinn and know the semo lo be true and torrect. Ail provisions of laws and <br />ordinacos governlna Ihls lypo ol worl: will be complied wilh whother specAiod heroin or noL The granlinp ol a pormi( does not presume <br />to givo aulhority lo violate or canr,el lhe provision ol any olher stale or local law regulotinp construcllon or Ihe peAormance of <br />conslruc0on. That I am nuthoraed by lha owner of Ihis properry lo pedorm Ihe work lor which application is made and I comply wilh lhe <br />Stale Contraclors�w �2y jtCW and 296.200 WAC. <br />