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SITE ADDRESS <br />"]4vs � <br />LEGA LOT NO. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRECT, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.urc� <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br />PARCEL TAX I.D. # <br />BLOCK I TRACT OR SUBDIVISION # <br />� <br /># <br />TENANT NAME I CONTACT FOR PERMIT PHONE ZS 3- $ i)-'1��'L <br />{' �D a+ 1�"�tJ 1 Ct-SL' 1�u2�U+T �CC�'TIJ �� � I� si'kor.� E-MAIL �e f n�:� C�Mk-iGc4 <br />q PiiiT� <br />�'w���ea�b F�R� ��c ctozi ca�.h�—,z an Kn•—� ��ss-Ys�-z.,�-c <br />rnuro i tecucF d <br />USE OF BUILDING <br />�� � IiAK�S02 <br />HEATSOURCE <br />4 & '. 25 <br />CONTRACT PRICE OF WORK <br />_ Eleclric _ Gas _ Other I � 21 � i.� <br />WORK DESCRIPTION <br />wlooi�=ti �cxRi,, �iw+� S!'�2�.����i.. Sh►.r�w. (�uti <br />/aA� 2- SsP A�u 1����, si�� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink R disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mopletc.) <br />8ack0ow preve�ter <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease �rap <br />Roof drains <br />Other <br />NJ. <br />N��.. Z' � In-v�c�C <br />—� -�-A� \1 1.'�'�AI>S <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby certify that I have read and examined this application and know ihe same to be true and corred. All provisi�ns oi laws and <br />ordinances governing this type of work will be complied wilh whether specified herein or not. The granting of a pemiit does nol presume <br />to give authority to violale or cancel the provision of any other state or local law regulating construction or the perfoimance of <br />consiruction. That I am authorized by,1he owner of this property to peKorm Ihe work forwhich applicalion is made and I comply with ihe <br />Sta�e Coplr2ctors,�.a�n 18.27ytCW�fn,d 29�.200 WAC. <br />7�30-�0 <br />ik <br />