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SITE ADDRESS <br />// �'/�✓, <br />LEGAL LOT NO. <br />TENANTNAME <br />P�RrVIIT APPLICATIC�N <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 />%_�n/— UDt�-DD <br />BLOCK I TRACT OR SUODIVISION ii <br />CONTACT FOR PERMIT <br />F_l�/✓ /r�E�� <br />'i' -� <br />PERMIT # <br />05 <br />r^Z D/ /l' r 3� 3-//G, <br />�r�,ro�'63 9n <br />LVNIKHViUK '•� "��- " <br />F�,��f�',y��'l/n/G A�Tyu.f 3io� ���Gs' Av� 9�'zo/ /z,-r"a��390 <br />CONTR. LICENSE N <br />USE OF BUILDING <br />v�� <br />HEAT SOj1RCE <br />_ Electric � Gas _ Olher <br />\NORK DESCRIPTION <br />,���.f i.Q`'�'F��oaFl E-.+'irr�.✓G ,Cr siDE'�cr <br />NO. I NPE OF FIXTURE OR ITEM <br />Toilet <br />Balhlub <br />Lavalory (wash basin) <br />Shower <br />Kifchen sink 8 disnas�l <br />Dishwasher <br />Clolhes washer <br />W ater hralcr <br />Sink (serviceNadmoplHc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease Irap <br />Roo( drains <br />Other <br />�.'ONTRACT PRIGE OF WORK <br />� <br />MECHANICAL <br />NQ I TVPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />T Gas piping <br />T Walerheater <br />Gas tireplace <br />� Gas range <br />Z Clolhes dryer <br />� Range hood <br />� Exhaustfan <br />Healpump <br />Unit hcaler <br />Boiler <br />Retrigeralion <br />Woodslovo <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />I hereby cerilify that I have read and examined this applicalion and know the same to be lrue and ccxrecl. All provisions oi laws and <br />ordinaces c�overning this lype of work will be wmplied with whelher specified herein or not. The grantiny o( a permit does not presume <br />to give aulhority to violate or cancel the provision uf any olher state or local law regulaling conslruction or lhe peAormance nf <br />consiruclion. That I am auUiorized by lhe o�vner o( lhis prope�ly lo perform the work for which applicalion is maAe aod I comply wilh lhe <br />Slatc Conlr r��18.27 RCW and 296200 WAC. <br />i0- s'�� -09 <br />