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I -- -- <br />I <br />� <br />I <br />ISITE ADDRESS <br />YL1 � �U <br />LEGAL LOT NO. <br />DESC <br />�RMIT APPLIC�4TI�1 <br />CITY OF EVERETT PERIIlIIT SERVICES <br />3200 CEDAR STREE'i , EVERET f, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.evarettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� �`� �e <br />BLOCK <br />� ��rc �; \/L/� Id��r�!�,1�� <br />TENANTNAM <br />C�N T R .�� .dF, �c�+1�t�F�..L .0+1 <br />PARCEL TAX I.D. p PERMIT # <br />,. <br />�oso�>,o��� ov� � c - p� � <br />TRACT OR SUBDIVISION p <br />ADDRE55 CITYIZIP PHONE <br />��� � ; =��y-.�II <br />CONTACT FOR /PE�RMIT PHONE �-��., -�7�- as-5 7I <br />, ���c1t{'4 \ A�%I�x"uGf�l E.nnni� �;.;�iJ�id��,r,aG:.,tti1r"c{�c <br />CONTR. LIC[NSE H ��� D�NG�'. � �� �� <br />USE OF BUILDING <br />;� <.��,,k�.,�-;��,� <br />- �I�,,;��ihlV...�i`1ti1�1, Ufq� '"��j(�ls'iC <br />HEATSOURCE <br />_ Electric _ Gas _ Other <br />�l�r`77,� �5� <br />CIiN fRACT PRICE OF WORK <br />��;Z,vud.cxJ <br />WORKDESCRIPTION �N2}��� �j �0. ',Q� c.c� �(i1'J ��A (J� I:5 �.�.n,�eC ��Cac�� '�a� <br />� ( t � � y <br />�.•���•F���� Wn�e1 `iCJr�F�nC� W�ew�C��`�vlW ,-,,NcQ ��Af(e.;,[tc,( .�..1 �2V1�'l <br />r�� �� t i`� �.�c.�� .,.�1y . UJ,,��-\t�- �-o � k;�,� ; ��`c, 0.,1 l,1 ('���<, <br />� ��c��l C�C WCW[n AS .tilLll c..���a. <br />PLUM�ING � IVIECHANICAL <br />NO. I TYP[ OF FI%TI:RE OR ITEM NO. I TYPE OF FIXTURE OR ITEM <br />_I Toilcl <br />_ E3alh�ub <br />, Lavaiory (wash basin) <br />Shower <br />Kitchen sink 8 dispo�al <br />Dishwash�r <br />Clothes washcr <br />�Naler healer <br />S��ik (service/badmop/��ic.) <br />6scktlow prevenler <br />Urinal <br />Drinkin9 Fountain <br />Floor drain <br />Grease Irap <br />Rool drains <br />Olher <br />A/C - air handling unils <br />Forced air syslems <br />Ga: piping <br />Water heater <br />Gas liicplace <br />Gas range <br />Clothes dryer <br />ftange hood <br />Exhaustfan <br />Hea� pump <br />Uni� heater <br />Ooiler <br />Re(rigeration <br />Woodstove <br />CITI' OF EVERETT LOCAL SALES TAX CODE IS J105 <br />h <br />r, y� <br />I herehy certify Ihat I have read and rKamined this aUPlication and know the same lo be liue and correct. All provisions ol laws and <br />ordinances goveming this type of work will be �omplied wdh whcther specfied herein or i�ot. The graMing ol a permit does nol presume <br />to give aidhonry lo violate or cancel Ihe pro ision of any other state or local law regulalinp ;.onslruc��on or ihe pertormance ot <br />I conslruction. That I am au �orized�,}�ythe �er oi this property to perlorm tne work'or which appli�aticn is made and � comply with Ihe <br />. State Coniraclors Law 18.271RCW."and 2",' ?00 WAC. <br />5'q <br />__ I <br />caN� <br />