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JITE ADDRESS <br />_`i�ll � �,�� <br />LEGAL� LOT NO. <br />DESC .�� �� ��,. <br />�oi�e, t � Y <br />TENANTNAME <br />PtRMIT APPLICATIfJN <br />CITY OF EVERETT P'ERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />(cx�.t�c a ✓ a <br />!1�i�lc !��-L/r-� <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION n <br />003- D-a� <br />CONTACT FOR PERMIT <br />>>o�soo_ <br />anmr <br />(�Ve�c�� h.�r7 <br />PHONE <br />PERM� <br />l� : Di - <br />I E-MAIL <br />NTRA T R ADDR"SS I ll PHO <br />CONTR. UCENSE p �/� , n � J <br />C� i�-v <br />USE OF BUILDING I1EAT SOURCE <br />Electric Gas Olher <br />WORK DESCRIPTION // <br />�'�k DS/ ,'r; �C/��—. <br />V <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilcl <br />Balhlu� <br />Lavalory (wash basin) <br />Shower <br />Kilchen sinh 8 disposal <br />DISIIWAS�1Cf <br />Clothes washcr <br />W alen c�ater <br />Sink (service/badmop/etc.) <br />Backllow prevenler <br />Urinal <br />Drinkin� Fountain <br />Floor drain <br />Greasetrap <br />Rool drains <br />O�hcr <br />CNa <br />` <br />CONTRACT PRICE OF WORK <br />TYPE OF FI%TURE OR ITEM11 <br />NC — air handlin� unils <br />Forced air syslems <br />Gas pipiny <br />Walcr healer <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />RangehooJ <br />Exhauslfan <br />Heat pump <br />Unit healer <br />Boiler <br />Relrigeralion <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TlilC CODE IS 3105 <br />I hmeby cenlily Ilial I have re3d and ezamined lhis applicalion and know the same lo Le lrue and correcL All provisions o1 laws and <br />ordinaces governin� Ihis lype o( work tivill be complieA wilh whelhm speci(ied herein or noL The granling ot a permit does nol presume <br />lo give aulhority to violate or cancel the prwision ol any olher stale or local law regulaling conslruclion or Ihe peitormance ol <br />conslruclion. Thal I am aulhorized by the owner of lhis property to perform the work lor which application is made and I comply wi�h Ihe <br />Stale Conlraclors Law 10.27 RCW and 29f200 WAC. <br />