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PtRMIT APPLICATIUN <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 />SITE ADDRESS <br />,;0 ��1� s �'� <br />J <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />�a� L� Ik U� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />BLOCK TRACT OR(� SUBDIVISION # <br />I (� �tf-dlM1 \ TiANi <br />u�5 S� � b Iv c c�+OlS <br />8-3--d% <br />P RMIT# <br />� ���`� <br />PHONE <br />�4S'2o3 y25-448-27 <br />TENANT NAME CON T FOR PERMIT PH NE <br />�U�� c�� /P— ��� �,� L� � <br />E•MAIL <br />CONTRACTOF AODRES INIIP P ON <br />T� I�.:. „Q�� ��� <br />CONTR. LICENSE # <br />USE OF BUILDING <br />WORK DESCRIPTION <br />�-�-c ,u .-c Q <br />d <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasiier <br />Clolhes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Backflo�v prevenler <br />Urinal <br />Drinking Founlain <br />Flour drain <br />Grease lrap <br />Roof drains <br />Other <br />HEAT SOURCE <br />Electrie. _ Gas <br />CONTRACT PRLC�OF WORK <br />C sl� r� P�L <br />Olher jl7�Qoi7 — �(a� �O� <br />GAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />NC – air handlinc� unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />i.lothes dryer <br />Range hoof <br />Exhauslfiu <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodslove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify lhal � have read and examined this application and kno�v the same lo be lrue and correcL All provisions of laws and <br />ordinaces goveming this lype of work will be complied with �vhether specitied herein or noL The granling of a permil does nol presume <br />to give authorily to violate or cancel lhe provision of any other state or local law regulaling consWction or the per(ormance of <br />conslruction. That I am aulhonzed by lhe owner uf this property lo pedorm the work for which application is made and I comply wilh the <br />Stal�,C�onl` ctprs La`v�18.�I-ij,�W �i ��6.200 WAC. � <br />`` i .a� i �t �i � / �7 <br />�(� <br />