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SITE ADDRESS <br />826 LoCv, <br />�EGA LOT NO. <br />�vfir✓� <br />TENANT NAME <br />SA/kE <br />c <br />c <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-6810 — FAX 425-257-6857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />�� Gdr- �vv - .li a <br />BLOCK � TRACT OR SUBDIVISION # <br />Wn�rtM�.i�n �/ <br />F/i�.��� </���J/N� A�/T/��Z <br />CONTR. LICENSE # <br />USE OF BUILDING <br />5�.� <br />7 CaIB j�At/� <br />CONTACT FOR PERMIT <br />/� <br />`.. �.'�- �- <br />y�.s��3. �r <br />PHONE <br />/2.f',f 'n�, 6396 <br />HEAT S RCE CONTRAGT PRict of wurcK <br />� _ ���< <�� <br />ElecMc Gas Other � <br />WORK DESCRIPTION <br />���/�/-��D��l �.Y/�lT��G� ��.T/�E"�✓C� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <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 />Urinat <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. I 'TVFE OF PIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />%^ Clothes dryer <br />Rangehood <br />Exhaust tan <br />Heat pump <br />Unil healer <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerlify that I have read and examined this application and know the same to be true and corred. All provisions oi laws and <br />ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does nol presume <br />to give authority to violate or cancel lhe provision of any other state or local law regulating construction or the performance oi <br />construction. That I am aulhorized by the owner of this propeAy to perform the work forwhich application is made anA I compiy wilh the <br />Slate Cyqtray(ors Law 18.27 RCW and 296.200 WAC. <br />