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SITE ADDRESS Z <br />jG� `� S . 7,rc <br />LE6AL LOT NO. <br />DESC. <br />�i('� � �'1 �l <br />TENANTNAME <br />CONTR. LICENSE # <br />USE OF BUILDING <br />WORK DESCRIPTION <br />\1 u"��' � �cJ <br />�� �;�� �\c�� <br />P�RMIT APPLICATION <br />CITY OF FVERETT PERMIT SERVICES <br />3200 CEU.AR STREET, EVERETT, WA 98201 <br />425-257-8810 — F.4X 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� <br />BLOCK <br />L� <br />PARCEL TAl( I.D. # <br />TRACT OR SUBDIVISION # <br />�JD I � uS � 3 r`� �l� -,t� �� <br />CONTACT FOR PERMIT <br />HEATSOURCE <br />_ [Ieclric � Gas _ Olher <br />ia —3-07 <br />PERMIT # <br />� <br />y2S„b �� <br />PHONE <br />� r.��(, l0<� �'��Zcy� <br />PHONE <br />E-MAIL <br />CONTRACT PRICE OF WORK <br />U(� (� fti S-�� CIV�� l��.Lf �S! C`-` e r 1 <br />1' J <br />NO. I TYPE OF FIXTJRE OR ITEM <br />Toilel <br />BalhlUb <br />Lavalory (wash basin) <br />Shower <br />ICitchen sink 8 disposal <br />Dishwashcr <br />Clolhes washcr <br />Water healer <br />Sink (serviceNar/mup/elc.) <br />�ackflow preveNer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Greaso lrap <br />Roo( drains <br />Olher <br />MtGFiANI(:AL <br />NO. I NPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air sysfems <br />Gas piping <br />W21er healer <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhauslfan <br />Hcal pump <br />Unil heater <br />5oiler <br />Refrigeration <br />Woodstovo <br />CITY OF EVERETT LOC.'L SALES TA% CODE IS 7105 <br />I hereby cerilify that I have read and examined Ihis apolication and know the samo to be Irue and correct. All provisions of �aws and <br />ordinaces �oveming lhis type of work will be complied with whelher specified herein or noL The granting ol a permil does not presume <br />to give authority to,violale or cancel lhe provision of any olher stale or local law regulating conslruction or the performance ol <br />con51rUc1ion.,Thal� I f�m authorized by the owner ot lhis property to perform the work (or which application is made and I comply with Ihe <br />Stal� ConJnclor,s,l�aw.1 .27 RCW and 296.200 WAC. <br />i.',")�� (%l C�i I�11�10�1 <br />( <br />