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SITE ADDRESS <br />,�=��1 bl �<Iv� <br />LEGAL�O. <br />DESC. <br />�� <br />C�iCi��`( �>�✓� <br />TENANTNAME <br />�Yr/ �P✓fl <br />ONTRA TOR <br />CONTR LICENSE il <br />USE OF BUILDING <br />K01�1 �, <br />PtRMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - v,�ww.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />�120 <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />�J �V�•15Cr'L' R�) <br />CONTACTFORPERMIT <br />l G� I'�--- <br />NEATSOURCE <br />_ Electric �� Gas _ Other <br />WORKDESCRIPTION ��/unt� C�J�S L��� ��0�� � ��"�c S <br />�l ��t�� ��lr�.�� i 1r�wL'�,.e>l� t��� �r �tG., �� <br />PLUMBING <br />NO. I TYPE OF FIXTUR[ OR ITEM <br />Toilel <br />Balhtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Cbthes washer <br />_� Walcr healer <br />Sink (servicelbar/mop/etc.) <br />8ackflow prevenler <br />Urinal <br />Drinking Founain <br />Floor drain <br />Greasetrap <br />Roof drains <br />Olher <br />!i � 3U—U� <br />PERMIT p <br />V1o7ll-U57 <br />�< �'�,^r- p (� S'�tl5�czz6b'z <br />PHONE <br />�25-47o Z�`�n <br />E•MAI L L�c C i//CSA{'� m S✓U .� c,-• <br />CONTRACT PRICE OF WORK <br />,�...1 S-Fo ��C v n J <br />MtGt1ANIGAL <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C - air handling unils <br />Forced air syslems <br />Gas piping <br />Waler healer <br />Gas (ireplacc <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaus:fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodslove <br />CITY OF EVERETT IOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and i <br />ordinaces governinc� this type of work w�ll be complied with whether specified herein or noL The granting of a permit does not presume <br />lo give aulhority to violate or cancel Ihe provision of 2ny olher state or local law regulating construction or the performance of I <br />conslruction. That I am aulhorized by lhe owner o( lhis property to perfomi the work for which appllcalion is made and I comply with the <br />Sta�e Conlraclors La�9��817RCW and 296.200 WAC. I <br />. � � �2 � ��'7 <br />