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SITE ADDRESS <br />/ U !�; <br />I FGAL LOT NO. <br />PcRMIT APPLICATIC,�1 <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-881 U- FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />C �G��.% <br />�BLOCK <br />11�\-, SC�v C� 1�v ��� <br />TENANTNAME <br />��� ��c' <br />(�LJ �lJOUL <br />\Y\u�'lrl�'_ `W�=N\c��.�- <br />CONTR. LICENSE # <br />USE OF BUILDING <br />S� <br />WORK DESCRIPTION <br />� �� <br />�iyn 5 <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />�athlub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />W aler healer <br />Sink (serviceNadmop/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Olher <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />�1 G� 1 vJ t1io�11C�'� �� 1?c1 <br />CONTACT FOR PERMIT <br />HEATSOURCE <br />_ Eledric _ Gas <br />�� �',��1° � <br />� <br />Olher <br /># <br />_�(2. <br />���t`;����Z l�iv� <br />(:�t�C tl , �5�i;.3 <br />PHONE - Z�)"[. L � IU � <br />cJi.len �i�.l(� V..Y ���� CL,L�(i� <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF F�XTURE OR ITEM <br />A/C — air handling unils <br />Forcr,d air syslems <br />L Gas pipiny <br />Waler heater <br />� Gas fireplace <br />Gas ranc�e <br />Clolhes dry•:r <br />Ranc�e hoo� <br />Exhauslfan <br />Heal pump <br />Unil heater <br />Boiler <br />Re(rigeration <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />� hereby ceritify thal I have read and examined lhis application and kno�v the same lo be Irue and correct. All provisions of Iaws and <br />ordinaces goveming Ihis rype o( work will be complied with whether specified herein or nol The granting of a permit does nol presume <br />to give aulhoriry lo violate or cancel the provision of any other slale or local law regulating conslruction or lhe pedormance �f <br />conslruclion. Thal I am aulhorized by the owner of lhis property to per(orm the work for which application is made and I comply wilh the <br />State Contraclors Law 18.27 RCW and 29G.200 WAC. <br />aan <br />