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� <br />SITE ADDRESS <br />LEGAI.� LOT NO. <br />DESC.r �Z '. 1? <br />�nNoy u i[ <br />TENANTNAME <br />hr�mG �qs <br />a <br />PERMlT APPLICATION Q <br />CITY OF E`JERETT PERMIT SERVICES ,�� i d l-�o "� <br />3200 CF_.DAR STREET, EVERETT, WA 96201 <br />425•257-8p 10 - FAX 425-257-8857 - �nnvw.everetiwa.org <br />`�?C L3 U7 - 0,33 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />-II°I G�P-�r1D PtVE <br />BLOCK <br />13S <br />I PARCEL TAX I.D. Jt <br />boy se� i3re� zoo <br />TRACT OR SUBDIVISION N <br />�r+f�l�vi�v �DD Ta t <br />; „�qppy ✓v�6TzaeR�Ti �1�9 Gr�+�14 a�6 <br />�c 6GVE <br />CONTHAI:IOH I� � •.( �pp,u�15 <br />CONTR. LICENSE R <br />Goor���� 16t <br />USE OF BUILDING <br />j� 51 DEri GE <br />CONTACT FOR PERMIT <br />�'i`�n F� k�%E(zj- <br />HY7����a� Sr <br />sNCHorv�� ,N � wn qbMo <br />HEATSOURCE <br />_ Eleciric � Gas _ Other <br />PERMIT k <br />, � C <br />�, - <br />=t�¢Ti I3t,K 13f <br />CITY2IP PMONE <br />�r� 1Bz.i y2f.3as: <br />PHONE 3W9. L <br />E•MAIL <br />• �M <br />4G� 3 y 4. 535-3 <br />CONTRACT PRICE OF WORK <br />cu� <br />WORK DESCRIPTION <br />DE�'vl'j"10✓u (rp E�LIS71�f(� �+�G �O CoN57Wv�TIB+V DF NEw Hom�' oN <br />��-e�^+r• <br />a��l� s_? j <br />NO. I TYPE OF FIXTURE OR ITEM <br />� Toilel <br />Z Bathtub <br />� Lavatory (wash basin) <br />� Shower <br />i Kitchen sink B disposal <br />� Dishwashcr <br />� Clothes washer <br />1 Water heater <br />Sink (servicelbar/mop/etc.) <br />Backllow preventer <br />Urinal <br />Drinking Founlain <br />_ Floor drain <br />Grease trap <br />Rool drains <br />Other _ _ <br />E�' � Sn�ltt <br />N0. I TYPE OF FI%TURE OR ITEM <br />NC — air handling units <br />�_� Forced air systems <br />� Gas piping <br />� Water heater <br />I .( Gas tireplace <br />[� Gas range <br />I� Clothes dryer <br />I � Range hood <br />%�i Ezhaustfan <br />� Heat pump <br />Unit heater <br />Boiler <br />�Relrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />I hereby c ritity Ihat I hav read and examined this applicalion and know ihe same to be true and correct. All provisions of �aws and <br />ordina��e�ninp ih�s y� of work wi!I be complied with whether specified herein or noL The granting of a permit does not presume <br />to give u horit�� to T4±lat o cancel Ihe provision ot any other state or local law regulating cons�ruction or the performance of <br />constr ct n. �iat � �m ut orized by the owner ol Ihis property to pedorm Ihe work for which a�plication is made and I comply with ihe <br />State o Ir Ibrstimw 8. RGW and 296.200 W�C. <br />