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SiTE <br />P'�R.MIT APPLICATIC��1 <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 />�� S—v�7 - .5 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />23 <br />LOT NO. <br />3JC' cC—,�CYI <br />TENANTNAME <br />�1%�'fl�� w �6�� <br />BLOCK TRACT <br />0�1� o r�" <br />PARCEL 7A)( I.D. # <br />20�� f22Z512.� <br /># <br />2o2zG. • 87�'''J�ot SE �w���",sd SBtSu 2c,�'37�-Jq <br />CONTRACTOR 3 ��, �-locn! n� j�.E� . <br />5 �s-D1=t5�LlY-Ti o�� <br />CONTR. LICENSE�R • � � � �' ' � <br />3�SC ,�v � ?� 17 � p� <br />USE OF BUILDING <br />S T` 1� <br />WORK DESCRIPTION <br />�SE� l�up�c->'- <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Balhtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 clisposal <br />Dishwasher <br />Clothes washer <br />Laundry iray <br />Sink (service/badmop/etr ) <br />Backflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grcase lrap <br />Roof drains <br />Olhcr <br />CONTACT FOR PERMIT PHONE <br />..�o � � ' Zu( 3`7Z �I `( ��'Z:- r: ., - � <br />ADDRESS CITY2IP PHONE ?A6 y I 2 1 9� <br />2�w6-,F�72^r'i��St '��.sau�.r�3r«1�'tQ�`�.6 <br />HEATSOURCE <br />_ Electric � Gas _ Other <br />CONTRACT PRICE OF WORK <br />NO. � TYPE OF FIXTURE OR ITEM <br />ivc - air nantlling unils <br />Forced a�r systems <br />Gas p�;,inq <br />W.Ier healer <br />Gas fireplace <br />Gasrange <br />Clothes aryer <br />Rangehood <br />Exhausitan <br />Heat pump <br />Unit heater <br />Boiler <br />Retrigeralion <br />Woodstove <br />CITY OF EVERE77 LOCAL SALES TAX CODE IS J105 <br />I hereby c�ritify that I have read and examined this application and know the same to be true and correcL All provisions o( �aws and <br />ordinaces goveming lhis type of work will bo complied with whether specified herein or not. The granling of a permit does not presume <br />to give authonry to violate or cancel Ihe provision ot any other state or local law regalatinc� construction or lhe performance of <br />conslruction. Thal I am authorized by the owner of this ; roperty to pedorm lho work for which application is made and I comply with the <br />Slateyfion4rectors Law 18.27 RCW and 296.200 WAC. <br />�'rj-OS <br />� <br />