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SITE ADDRESS <br />yznQ �--�,,��1; <br />LEvAL LOT NO. <br />DESC. <br />OWNER /-� <br />i.il F�l�� '/Y� '�`�, <br />TENANTNAME <br />PtRMIT APPLICATIVN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — vw✓w.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D.11 <br />, .� <br />BLOCK TRACT OR SUBDIVISION p <br />G7 ` /��{/ %� <br />//-��� L'-/'J����rl,�/"Z L�Z..: <br />�CONTACTFORPERMIT <br />c���� C.; �"�// <br />VVry1M1MblUll <br />�'/ ,,.l., l.i �'S `�S �% �'/ < <� J%� c <br />� <br />CONTR. LICEN$E # <br />1 <br />USE OF BUILDING <br />!�rS _ <br />WORK DESCRIPTION <br />� �.�;i��,-X'�� <br />MYURCIJ <br />3�0 � ,c �,�„-�`/. J..c <br />PERMIT N <br />���;�,�,� i/zT z�z-,�z> � <br />PHONE <br />�/LS- 23 �—�72 F' <br />E�NIAIL <br />��P! G/ ��y�� <br />HEATSOURCE <br />X� Eleclric _ Gas _ Other <br />. <br />,F-/�� �%'� ��, � „�« <br />NO, � TYPE OP FI%TURE OR ITEM <br />_ Toilet <br />Bathtub <br />Lavatory (wash L asin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />C�olhes washer <br />Water heater <br />Sink {service/bar/mop/elc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Other <br />y1 > -7_5'`� 2!�/ <br />CONTRACT PRICE OF WORK <br />�t�7 � �i <br />f�° ���-- r -�:�/.� <br />/' <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />� Forced air syslems <br />Gas piping <br />Wal�r heater <br />Gas firepiace <br />Gas renge <br />Clo;hes dryer <br />Range hood <br />Exhaustfan <br />Z Heat pump <br />Unit healer <br />Boiier <br />Refrigeration <br />Woodslove <br />Other <br />CITY OF EVERETT LOCAL SAIES TAX CODE IS 3105 <br />1 hereby ceritify Ih2t I have read and examined this application and know lhe same to be true and correcL All provisions of laws and <br />ordinaces governinc� this lype of work will be complied wilh whether specified herein or nol The granting of a permit does not presume <br />lo give aulhority lo violate or cance� the provision �f any olher state or local law regulaling construction or the performance of <br />construction. 7hat I am aulhorized by the owner of this property to perform lhe work for which applicalion is made and I comply wilh tl:e <br />Slate Co�lrec(ors Law 18.27 RCW and 296.200 WAC. <br />, `% � �' � � j� t�✓'� /l-' - -' S' -c� <br />