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,i��� <br />SITE ADDRESS <br />i`� x � `�� <br />LEGAL LOT NO.) � <br />DESC. <br />' c -� <br />� <br />TENANT NAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 2�a1-v <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 />C _�'X�31�`'zC_^USUI <br />BLOCK TRACT OR SUBDIVISION # <br />�j �L � _�\./ t�c.�tiC <br />ADDRESS CITYIZI <br />I i 1 IU �LLG1�T I.�I- Ll.f <br />� I CONTACT FOR P,L�M <br />-� qNTRA �T - ADDRESS�M13 ��4� 1 <br />�S('tC�R..i. 1-IC�.M�. S�-^�c., Gz� s�Z S+�c <br />CONTP.. LICENSE q, �� S} C�.C.n1:a �^� g <br />I�I'�C.AR11i��� L h <br />USE OF BUILDING HEAT SOURCE <br />��� C� ` � � _ Eleclric /� Gas _ Olher <br />WORK DESCRIPTION <br />IS (..� ., Cl '� <br />2��1C SF <br />Np, I TYPE OF FIXTURE OR ITEM <br />Toilet � � <br />� Balhlub ! <br />�� Lavatory (wash basin) � � <br />� Shower I <br />� Kilchen sinh & disposal <br />1 Dishwasher <br />1 Clothes washer <br />1�. Water healer <br />� Sink (serviceibadmop/etc.) ; <br />6ackflow prevenler <br />Urinal <br />Drinkin9 Fountain <br />Floor drain <br />Grease trap <br />Root drains <br />Othor <br />Sr`iZ <br />��s �� -o,d <br />�ER # <br />" �� �DD� <br />IONE C..� Z, 23 �- <br />,J pt � � � � <br />[{�j Z�'iS U✓U!.' <br />E-MAIL IIAGASL.i.IlU�"�c: � �' <br />IK <br />y�; LiS a5;cw <br />9k2� 7 <br />I CONTRACT PRICE OF WORK <br />ZCX�, vvv , ou <br />2 �j Z:S <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handlin9 units <br />Forced air syslems <br />Gas piping <br />W ater heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaust fan i� � I <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />CITY OF EVERETT LGCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this applir,ation and know Ihe same lo be true and correct. Afl provisions of laws and <br />ordinaces goveming lhis type o( ••vork will be comp ied with whether specified herein or noL The granting of a permil does not presume <br />to 9ive autho � o violale or cancel the provisio of any olher stale or local law rec�ulating construction or ihe performance of <br />conslryyye on. Thal m aulhorized by ihe own o( Ihis property to peAor � eL �(or which application is made and I comply with lhe <br />Siat�ontractors L v 18.27 RCW and 296. 0 WAC. <br />: /ti i1 � � C1 C/'�-1 � �c <br />