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SITE ADDRESS <br />` I��-Gr <br />LEGA LOT NO. <br />� �:•,.� 1�1 <br />TENANT N E <br />PtRMIT 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 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />� I �- �r� Rv� <br />CONTACT FOR PERMIT <br />�/Cu'�.^c�. d'�''" �') <br />PERMIT N <br />I�. ' C <br />PHUNE <br />;/ �/.�S �379-�, <br />PHONE <br />.� C,�,��- I S (�tM--L E�11AIL <br />CONTR. LICENSE N � A <br />�t <br />USE OF BUILDING <br />�tS'I G`� 11 � ( <br />WORK DESCRIPTION <br />"� ' 1� � .� <br />�� !J� <br />�Sr <br />NO. I TYPE OF FI%TURE OR ITEM <br />Toilel <br />�alhlub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sin4; & disposal <br />Dish�.vasher <br />Clolhes washer <br />Water heater <br />Sink (serviceNadmop/etc.) <br />Dnckflow prevenler <br />Urinal <br />Drinkin� fountain <br />Floor drain <br />Grcase lrap <br />Roof drains <br />Olhcr <br />HEATSOURCE <br />_ Electric ✓Gas <br />I CONTR{\CT PRICE OF WORK <br />Other ��SD� <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />forced air sys�ems <br />Gas piping <br />Waler heater <br />Gas tireplace <br />Gasrangc <br />Clolhes dryer <br />Range hood <br />[zhauslfan <br />Heat pump <br />Unil heater <br />Doiler <br />Refrigeration <br />Woodslove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby cerilify that I have read and examined this application and know the same to be true and correcl. All provisions of laws and <br />ordinaces �overning Ihis lype of worY, will be complied with whelher spaci(ied herein or noL The granting o( a permit does not presume <br />to give authorily lo .iolate or cancel ihe provision of any olher stale or local law rec�ulating consiruction or Ihe peAormance oi <br />conslruction. That I am aulhorized by lhe owner of lhis property lo pedorm lhe work lor which app�ication is made and I comply with lhe <br />Slal� Contracl rs Law i781.2'7 'RCW and 296.200 WAC. <br />�-- /�� �M ��� ��- � % <br />� �L <br />