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SITE ADDRESS <br />,: 915 F: c.0 :- <br />LEGA LOT NO. <br />P�tRMIT 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 e AM TO 4 PM <br />BLOCK <br />t �3e ��oie <br />iENANTNAME <br />�O �ov1y+�.ucTo�n <br />aa�d �o,����;�,...,�,..� <br />CONTR. LICENSE N <br />USE OF BUILDING <br />Of,� S I NCSS <br />PARCEL TAX I.D. / <br />TRACT OR SUBDMSION t <br />�iaS� ,3� 8 - .S.j `�l / <br />CONTACT FOR PERMR <br />��s �,+� �� <br />HEATSOURCE <br />_ Eler,tric _ Gas _ Other <br />I ��y�0� - D3 6 <br />-�$-c��i� <br />f�e��FF qs� ��lar asa - 3i 5� <br />CONTRACT PRICE OF WORK <br />���� � <br />WORK DESCRIPTION <br />Bu�(d �;hc�ll '�rx.,v nu,�-� walls,-��cx��,�, av.��ni��,:., .�✓ TI. <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink d disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (service/bar/moplolc.) <br />Backflow prevenler <br />Urinal <br />Dnnking Fountain <br />Floor drain <br />GreasQ trap <br />Roo( drains <br />Other <br />r.r.a <br />TYPE OF FD(TURE OR ITEM <br />A1C - air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas Breplace <br />Gas range <br />Cbthes dryer <br />Range hood <br />Exhaust (an <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woadstove <br />Other <br />CITY UF EVERETT LOCAL SALES TAX CODE IS 7103 <br />I heraby ceritify lhal I have read and examined this application and knovi Ihe same to be true and correct. All provisions of laws and <br />ordinaces gnverning this lype of work will be complied wilh whelher spec�ed herefn or nol. The grandnp of a pemdt does rat presume <br />to give authority lo violate or cancel the provision of any other slate or local law regulating construclion a the perlortnance of <br />constructi . That � am uthorized by the owner of Ihis property lo par(orm 1he woric (or which applkadon is made and I comply with the <br />State Co aclors aw 8.27 RCW and 296.2U0 WAC. <br />�- �qio ��z <br />SignaWre o Owne /Conlr lodAuthorized Agent Dale <br />