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SITE ADDRESS <br />.. ��LEGA LOT NO. <br />f <br />PERMIT APPLICATIOnI <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 />�t -/, <br />BLOCK TRACT <br />PARCEL TAX I.D. # <br />� — �q —06 <br />PERMIT # <br />S U���' _ <br />, <br />�%✓�1 S �i �J � �� �'�'1 <br />TENANTNAME CONTACTFORPERMIT PHONE <br />�✓ n � 5 . S � � �Y M YN �,�--� � �-s — � S-� -- 2 � �---� <br />CONTRACTOR �(� ��� Z L{ f� � ADDRESS � S.� o r K �� � S� ITY�IP PHONE <br />7 /J <br />r k2,�-'_ yy� 1� <br />CONTR. LICENSE # <br />t�v r� i 7 � U � 4�� �� J �yhh w� =�1 t,�l� l�°��. _' � 6" <br />USE OF BUILDING <br />WORK DESCRIPTION <br />HEATSOURCE <br />Electric �as <br />Other <br />�� lls,(�Q �j rZl�lt CL17 HND� �i`�-`a� <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Waler healer <br />Sink (service/badmopletc.) <br />Backflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Olher <br />cn1 �7 � c;v,.�� <br />� <br />� <br />J� <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Waler healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhauslfan <br />Heat pump <br />Unit healer <br />Boiler <br />Refrigeration <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE �S 3705 <br />OF WORK <br />I hereby ceriti(y that I have read and examined lhis application and know the same to be true and correcL All provisions of laws and <br />ordinaces governin� lhis type o( work will be complied wilh whether specified herein or noL The granting of a permit does not presume <br />lo give aulhonty lo violale or cancel the provision of any olher state or local law regulating construclion or lhe performance of <br />conslruclion. Thal I am authorized by the owner of tliis property to peAorm lhe work for which applicalion is made and I comply wilh the <br />0 <br />