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P��tMIT A,PPLIC�TICy��I <br />�ITY OF EVEP.ETT PERMIT SF.RVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />AX 25-257 8857 www everettwa o <br />� o —lb -od <br />425-257-8810 - F 4 - - . • �9 5 <br />� t�I '�. ��✓ S�0 .' <br />APPLICATIONS ARE ACCEPTED FROM 8 kM TO 4 PM - DEBIT 5 CREDR' CARDS AR�NOT ACCEPTED <br />SITE ADDRESS <br />312.� l�� <br />PARCEL TAX I.D. / <br />�93t31�j 23�tvo <br />'425 sof528s2 <br />TENANT NAME CONTACT FOR !�ERMR Pha+t <br />So,Nb�Cp• Al.OE•1Z <br />c.o�p�rA� a��rt�zs A2S 3�l f���l <br />conrsucrae �nortess cmrc�P r�w� <br />!'!'-�'�w�-1 CVHSTKueTiori �o�rlric. I'�.�142d'`�SrSe�veR�CS' �8205 `� <br />CONTR. LICENSE • <br />USE OF BUILDING <br />l�scn��'��°�+-- <br />WORK DESCRIPTION <br />�u!%l.�k R�s1�h1GE <br />Toilet � / <br />Bathtub <br />Lavatory (wash basin) i �/'% <br />Shower <br />Kitchen sink 8 disposal � <br />Dishwas�er <br />Cbthes washer <br />Laundry tray <br />Sink (service/badmop/etc.) <br />BacMlow preventer <br />Urinal <br />Drinking Fountain <br />Fbor dreln <br />Grease trap <br />Roof drains <br />Other <br />Electric `� Gas <br />NEy�r � CChI��T (2 U GT" lC�ty <br />TYPE OF FIXTURE OR REY <br />wc: — air nanaixg urxrs <br />Forced elr syslems <br />Gas plping <br />Water heater <br />Gasfireplace <br />Gas range <br />Clothes dryer <br />F.inpe hood <br />E�aust fan �� ~ � <br />Heat pump <br />UnR heater <br />Boiler <br />Refriperatbn <br />Woodstove <br />Otfwr <br />CITY OF EVERETT LOCAL SALES 7Al( CODE IS NOS <br />I hereby ceritify thal I have read and ezamined this applkation and kraw tha same to be true and cortect. All proWsbns of lawa and <br />ordinacos goveming this type o( work will be complied with whether s�eciHod herein or rwL The grentlnp of a pertnR doea not presume <br />to give aulhority to violate or cancel tho provision of any other state or bcal law reguladng constructlon or lhe perform� of <br />construction. That I am uthorized by the owner o( thfs property to perform the v.rork for which applMadon is made and I cumply wRh the <br />Stalo Conlraclora�:alv 1�,27�2CW �nd 295.200 WAC. <br />