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SITE ADDRESS <br />'i � .Y <br />LEGA LOT NO. <br />DESC. <br />OWNER � <br />� � 1�0� r <br />TENANTNAME <br />PCRMIT APPLICATI(�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 />� �1 �C�'.�p.t+ .�,�0y01o�i3�1.1-oG <br />BLOCK "I TRACT <br />�w.�� ' I �^c�c-� � <br />�c. / � CONTACTFOR PERMIT <br />u,4^��i I�'�1tils�� 1_i <br />y. ���r <br />CONTR. LICENSE # <br />USE OF BUILDING <br />ADDRESS <br />H[AT SOURCE <br />Electric �as Other <br />`� --�- g '�� <br />-0// <br />� l�os Nw SG� <br />PHONE <br />•�3 �1�7.�`�0° <br />CITYIZIP PHONE <br />CONTRACT PRICE OF WORK <br />�9 �0 Da � <br />WORK DESCR�PTION / <br />��v�Lc,w� �it��U.t�;,�� �o CZ�1tV��i� �tnt-` C� Qj(ts-�� <br />, � � , , �0 c ,. , �-� . � _ .. � .. .� �� <br />NO. I TYPE OF�FIXTURE OR ITEM <br />Toilel <br />6alhlub <br />Lavatory (wash basin) <br />Shower <br />Ichen sink 8 disposal <br />Di lwashcr <br />Clothes washer <br />Water I ater <br />Sink (serv eNar/mop/c <br />8ackfiow pre nter <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Olher iA.inl)�th <br />NO. <br />TYPE OF FIXTURE OR �TEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />W ater heater <br />Gas fireplace <br />Gas range <br />lothes dryer <br />nge hood <br />Ext usl fan <br />Hcal mp <br />Unit he r <br />Boiier <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />aC1� �'iw..\ � i <br />G )� <br />I hereby ceritity Ihal 1 have read and examined this applicalion and know the same to be lrue and correct. All provisions of laws and <br />ordinaces governinc� lhis type of work will be complied wilh whether specified herein or nol. The granting o( a permil does not presume <br />lo give aulhority to violale or cancel the provision of any other state or local law re�ulating conslruction or the performance ot <br />construction. Thal I am aulhorized by the owner ot this property lo perform lhe work for which application is made and I comply with the <br />Slate Conlracto Law 18. RCW and 296.200 WA � <br />f��� �� �.� �. '� � 3�a � <br />