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SITE ADDRESS <br />y ara <br />LEGAL LOTNO. <br />DESC. <br />OWNER � <br />y�~� <br />c �e <br />TENANTNAME <br />Ll. Man�a <br />CONTR. LICENSE N <br />USE OF BUILDING <br />�=ERMIT APPLICATIt�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. A <br />.Q � • I ZGY� ' e <br />BLOCK TRACT OR SUBDNIS�IONlA (� <br />S l� P/ AW 7N '/w <br />S^ I n ( M► <br />kk4 <br />�"- C�'� <br />/� <br />,..�. PO �x 99 � <br />CONTACT FOR PERMIT <br />Ja r�,+c r d t%4a <br />,, � <br />/ 2-iD-O� <br />PE MIT /t <br />i � zov � 8i2-3 <br />Ic�..( <br />TY21P PHONE <br />5ro�w.lw.ie W � <br />HONE w15 343 SDI� <br />. E�a�Jcr.�. F�r C� AiT <br />� � <br />HEAT SC�lRCE CONTRAGT PRIGE OF WORR <br />� � - �� � � <br />E�eccric r Gas Olher <br />WORK DESCRIPTION � y, <br />IQhAv�l IM1 ����i <br />NO. I TYPE OF FIXTURE OR ITEM <br />�� <br />� <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />{(itchen sink 8 disposal <br />washer <br />Sink (se�cl <br />BackFlow p�i <br />Urinat <br />Drinking Foi <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />) <br />NO. I TYPE OF FIX7URE OR ITEM <br />AIC — air handling units <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />asrange <br />thes dryer <br />Ra e hood <br />Exha fan <br />Heat pu <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CIN OF EVERETT LOCAL 5ALES TAX CODE IS 3105 <br />I hereby ceriti(y thal 1 have read and examined lhis appiication and know lhe same to be We and cortect. All provisions of laws and <br />ordinaces governing this type ot work will be complied wilh whether specified herein or not. The granling ot a pertnit does nol presume <br />lo give authority to violalo or cancel lhe provision of any other slale or local law regulating wnstructlon or the pedortnance of <br />conslruclion. That I am authorized by the owner of this property to perform lhe work for which applicaUon is made and I comply with Ihe <br />Stale Contractors Law 18:� RCW and 296.200 WAC. <br />�z �ci' <br />/� <br />