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SITE ADDRESS <br />�' M, <br />LEGA LOTNO. <br />DESC. <br />OWNER <br />�i. ►�e.� �=vi (��z <br />TENANTNAME <br />�00�'�L6'�L1b Cc. <br />CONTRACTOR � �� <br />CONTA. LICENSE N <br />USE OF BUILDING <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-881 U— FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� <br />����i. <br />BLOCK <br />�� <br />PARCEL TAX I.D. # <br /># <br />9 PEHMIT <br />� a�(Ai)S <br />7�TUJ%G <br />� I �Z- DD� <br />�ERMIT p <br />' S I D l� J� l70 <br />� �ol <br />PHONE C�l'Z52 $"Z Z( <br />E-MAIL <br />170� �oltT - �i1.S• L3ti-�fo15 <br />HEATSOURCE <br />INDOC(L <br />�—�� _ Electric _ Gas _ _ Other <br />CONTRACT PRICE OF WORK <br />/�_ � an <br />.������� �— <br />WORK DESCRIPTION ����U�16�1 O� tJt� I til ��p2, c,,bo�J-��i-A�ML�, Z'STa(%Y <br />Arz�a -�w� :5�2a(�E� ���.ST2aa'"� � �"�c.� , TL 'B� ����`�t �prL�t�ict�cO. <br />NO. I TYPE OF FI%TURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Waler healer <br />Sink (service/baqmop/etc.) <br />Backllow preventer <br />Urinal <br />Drinkinc� Founlain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Other <br />NO. I T� PE OF FI%TURE OR ITEM <br />_ NC—airhandlingunils <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas lireplar.e <br />Gas range <br />Clothes dryer <br />Rangehood <br />Exhaust (an <br />Heal pump <br />Unit heater <br />Boiler <br />Relrigeralion <br />Woodstove <br />CITY OF EVER'eTT LOCAL SALES TA% CODE IS 9105 <br />I hereby ceritify ihal I have read and examined this applicalion and know Ihe same to be true and correct. All provisions of laws and <br />ordinaces governing this lype of work will be complied with whether specified herein or noL The granling of a permit does nol presume <br />to give aulhoriry to vio�ale or cance Ihe provision of any other stale or local law regulaling constmclion or �he pedormance of <br />canslructyi �That I am aulh�� owner o t�iis properly to perform lhe work for which application is made and I comply wi�h lhe <br />Stale ny" 5ctors Law 18.2 � 96. W C. <br />l � <br />�U` <br />Si ture ol wneriConlraclodAuUiori Ag.nt ate i <br />�Z, <br />