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SITE ADDRESS <br />rS3o —3 <br />LEGA LOT N0. <br />PEr'MIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />TRACT <br />PARCEL TAX I.U. # <br />�,�c.�rlc. ��-ccl.��,, 5530 3,� A�N <br />TENANT NAME CONTACT FOR PER <br />CONTRACTOR �j �`�,rt^. ^ t� �� .� A�D`' SOS ,' 1 <br />r� . . ;;- i <br />W <br />CONiR. LICENSE # <br />USE OF BUILDING <br />WORK DESCRIPTION <br />PERMI� <br />��,� s <br />� iv- <br />CITYIZIP PHUNE y�Z,r <br />�vrith �iR2v:� �E—l�cS'�. <br />IT PHONE <br />CINIZIP PHONE <br />lM�<<�?�,? C.�•� 3�-SG�.016z <br />�� • � lndt-�,� c a � <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />Eledric Gas Other <br />�� lq (� �Cc S �'/ n �� � /�. <br />l ri� S-I� ���'� <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Dathtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry Iray <br />Sink (service/badmop/elc.) <br />BacY,flow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease Irap <br />Roo( drains <br />Other <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Watcn c�ater <br />Gas fireplace <br />Cas rango <br />Clolhes dryer <br />Range hood <br />Exhausl fan <br />Hea� pump <br />Unil heater <br />Boiler <br />Refric�eration <br />Woodslovo <br />CITY OF EVERETT LOCAL SAL[S TAX CODE IS 7705 <br />$ �n.''�r�) <br />I hereby ceriti(y thal I have read and examined this application and know the same to be true and correcL All provisions o( laws and <br />ordinaces goveming this lype of work will be complied �.vith whether specified herein or nol The granting o(:. permit does not presume <br />to give aulhority to violate or cancel lhe provision of any other stalo or local law regulalinc� consWclion or the perfo, rance of <br />conslruction. Tha! I am authorized by lhe owner of this property lo perTorm the work lor which applicalion is made and I comply with tho <br />St:�1e Contraclors Law 18.27 RCbV and 296.200 WAC. <br />_ Y�.-+'k 1 c-� �C . `la L'� <br />Sic�nature o— t Owner/Cbntractor/Authorized Agent Date <br />