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L Gt��� <br />R •lS� <br />SITE ADDRESS <br />LOT NO. <br />TENANTNAME <br />�j �SSI.c.�— (if /1.��— %y/v�'� ��PiJ�+-t, c <br />�uR�+-in.G(� \!� � Q_1!iJroC,Y � � <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-6857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. / <br />BLOCK I TRACT OR SUBDMSION / <br />CONTACT FOR PERMR <br />�AJt9 Q(2Rh�.1 <br />Riot� p��c�Sn�. �Hc <br />coHra. ucehse K � AK ERPM o 9°12K <br />USE OF BUILDING <br />T!� l <br />�� <br />,o��—,v <br />3 ,o�� -oo� <br />PHONEL��,5 $2'1.q2<.2 <br />E�AAIL <br />13504 �JE \24� " ""� rn��.- <br />K�RKuw�D �I2$.� 71.4262 <br />a8o34 <br />HEAT SOURCE <br />_ Electric � Gas _ Other <br />CONTRACT PRICE OF WORK <br />z3oo�o <br />WORKDESCRIPTION RoJbt� IN vNDE2GxtovND F�vMB11,1G-FOR p,51NU+-E R�'1Roo!'� <br />IN Sv�T� $,ipP•OvT 4�u1'�31NGINWA�I. <br />NO. I TYPE OF FII(TURE OR REM <br />Toilet <br />Balh�ub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Waler healer <br />Sink (service/bar/moplelc.) <br />Backflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />N0. <br />TYPE OF FUCTURE OR REM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas flreplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhausl tan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CRY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br />I hereby certify lhal I have read and examined this application and know the same to be Irue and correcl. All provisions of laws and <br />ordinances governing lhis type of work will be complied with whelher specified herein or nol. The grenling of a pertnit does not presume <br />to g�ve aulhonty to violate or cancel lhe provision of any other slale or �ocal law regulating consttuction or the peAormance of <br />eonslruction. That I am�ulhorized py �he owner of ihis property to perform lhe work for which applicalion is made and I wmply with the <br />�State Corjlractors L�/1�. �'RFWt�nd 296.200 WAC. �� A <br />/ � �1� /� i �� l� n n��� <br />-�o -� <br />M <br />