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SITE ADDRESS <br />323� <br />LEGAL LOTNO. <br />DESC. 1 C � <br />u�ro��N-/MnaLT,r� <br />TENANTNAME <br />��l%�/�� <br />CONTR. LICENSE N <br />USE OF BUILDING <br />� �--- <br />PtRMIT APPLICATIGN <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 />BLOCK <br />PARCEL TAX I.D. # <br />� �� - ��a- <br />TRACT OR SUBDIVISION p <br />lbl� `i5'�� � <br />CONTACT FOR PERMIT <br />Mh�e MR�e7�.� <br />HEAT SOURCE <br />Electric � Gas _ Other <br />� NuWt I,S H � �l <br />WORKDESCRIPTION ��� ���g-t��h �X3�} F�,D�,1T R112LE{ <br />�r(Ak� WiTN- N� £s�'s¢ RN�H- ��w �-ctuhS! <br />�IMtUa'�L 6�.31L�1� � MR"C�iZ.tA2..S R�5 �Is?��� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Balhtub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink 8 disposai <br />Dishwasher <br />Cbthes washer <br />Waler heater <br />Sink (service/bar/mop/elc.) <br />Dackflow prevente� <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />425�501•60/; <br />PHONE <br />425• �l• 6oiS <br />CONTRACT PRIC,E�OF WORK <br />`�4�� <br />r�a.v.�c. I couua.�—tE <br />EiG MRiNT,41� <br />NO. I TYPE OF FIXTURE OR ITEM <br />NC — air handling units <br />Forced air systems <br />Gas pipinc� <br />Water heater <br />Gas fireplace <br />_ Gas range <br />_ Clothes dryer <br />_ Range hood <br />_ [xhaustfan <br />_ Heal pump <br />_ Unit heater <br />_ Boiler <br />Refrigeration <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ceriti(y Ihat I have read and examined this application and know lhe same to be true and correcl. All provisions of laws and <br />ordinaces governing this type o( work will be complied with whether specified herein or not. The granting o( a permil does nol presume <br />to give aulhoriry lo violate or cancel the provision of any other state or local law regulaling consWction or the pe�formance of <br />construction. That I am au iorized by the owner ot lhis properly to peAorm the work for which aoplication is made and 1 comply with the <br />State Conlraclors La�v 1�7 RCW�.2�6.200 WAC. <br />��Z <br />