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SITE ADDRESS <br />/D ,; /ti <br />LEGAL LOT NO. <br />il���'�1' � ' <br />TENAN� <br />P�RMIT APPLICATI(�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-3810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />v�_ <br />BLOCK <br />�' �lr- <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION tl <br />�C�iL� �'��«'�iU.� c✓�G// ��� <br />CONTACT FOR PERMIT <br />� �� ;!�'� /Sf., f <br />�.vn i nn�, i vn <br />�`��ln��'1�' �l�rS�YS"y-r,�i�ti Sti c <br />� �04L <br />USE OF BUILDING <br />�"n�' S <br />WORK DESCRIPTION <br />�c�n L�PryC,� <br />PERMIT # <br />l�l. � ' Z. % �— <br />PHONE <br />�j2s- 23�-/7Z� <br />36 G/ �`_� `*� �1�<�r .�=v�l -7� <br />%�SZ.c�� <br />HEATSOURCE <br />� Eleclric _ Gas <br />�r-a f-�c ���rh<�c ��• <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />BathWb <br />Lavalory (wash basin) <br />Shawer <br />Kitchen sink & disposai <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (servicelbadmop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />NO. <br />Othcr <br />�/� s -z�-`%Z/� <br />CONTRACT PRICE OF WORK <br />// 8 y 7 `= <br />/�/r.,%y �:]V <br />TYPE OF FIXTURE OR ITEM <br />A/C -� air handlinc� unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhausl fan <br />Heat pump <br />Unit heater <br />Boiler <br />Re(rigeration <br />Woodslove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify ihat I have read and examined lhis application and know the same to be true and correcl. Ail provisions of laws and <br />ordinaces goveming this rype of work will be complied wilh whelher specified herein or not The granling of a permit does not presume <br />to give authority lo violale or cancel lhe provisiun o( any other state or local la�v regulatiog construction or the performance of <br />construclion. That I am aulhorized by Ihe owner of lhis property to perform lhe work for which applicalion is made and I comply with the <br />Slale Conlraclors Law 1827 RCW and 296.200 WAC. <br />, <br />`.y." ;,'( ,�.%.i iO-Zy-d 7 <br />