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SITE ADDRESS <br />�5t�1 �1cP-� �� <br />LEGAL 4OT NO. <br />DESC. /'�-,� /'� <br />OWNER <br />��� 11�111LS1'1 � I i <br />TENANTNAME <br />(; y�,,���c �� S �. <br />CONTR. LICENSE # <br />USE OF BUILDING <br />i <br />P�RMIT APPLICATION <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 G�I -� �O <br />PARCEL TAX I.D, p PF�RMIT N <br />'Of'�T l � �K�G ; 7,�j�1(�L�:�" !X? � ��j ��� <br />BLOCK TRACT OR SUBDIVISION # <br />a�i►'t� i�' I i115 �,,St • �#(c% <br />ADDRESS � CITY/ZIP PHONE <br />^ <br />� C �'lX II� � C ���Ni" ►.t'A �� �9-�U' �; � - 7u%, �- s7r�1 � <br />7 CONTACT FOR PERMIT PHONE ��7G� �I g U�l� <br />/ � C����) ����GS�� E•MIUL C���I-1CGIS"J��') <br />� .�,,,�—b��— <br />�2Cci'1�1���1JICA11l� FAi1u <br />HEATSOURCE <br />Eleclric _ Gas _ Other <br />CONTRACT PRICE nF WORK <br />�'Ci <br />WORK DESCRIPTION ` <br />�ll ��i��1���Ji� � ��L. Cv C' n'�-�'-�li' L� <br />Ci1O�►1l�ll� �`��l�t'rY� lU,�l�f�PllCl�-����� ���c f 1�1t����G^ <br />NO. I TYPE OF FIXTURE OR ITEM <br />� <br />� <br />Toilel <br />Bathtub <br />Lavatory pvash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washcr <br />W atcr heater <br />Sink (,ervicelbadmop/etc.) <br />�ackllow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olner <br />lY7 -C�Ki,f/� ti� <br />-;� .S.UO �'c</� <br />�I� c.j�l�l�, .::1 <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas lireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust (an <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigoralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />I hereby ceriti(y that I have read and examined Ihis application and know tho same to be true and correcl. All provisions of laws and <br />ordinaces goveming this lype ot work will bo complied with whether specified herein or not The granling of a permil does nol presume <br />to give authority to violate or cancel the provision of any other state or �ocal law regulaling construction or the peAormance of <br />construclion. That I am authorized by the owner of ihis propurty lo perform the work for which applic3lion is made and I comply with Ihe <br />Stale Contractors Law 18.27 RCW anA 296.200 WAC. <br />,/� <br />i c��� i <br />