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SITE ADDRESS <br />G�� �'� <br />LEGA LOT NO. <br />DESC. <br />OWNER <br />SOSCphw � i��� <br />TENANT N.4ME <br />ACT — <br />CONTR. LICENSE # � <br />USE OF BUILDING <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SER!/ICES <br />3200 CtDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 —www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �/_��_� � <br />BLOCK <br />PARCEL TAX I.D. # QPERMI7 # <br />I (J � � �� � � S-J <br />TRACT OR SUJDIVISION # <br />lA'l7 �i�c;�ini.'_l�✓� . Ccl/CC��{/. �53-J�S-�Ft3�j <br />CONTACT FOR PERMIT PHONE <br />�.'J�['-�S �Q�/ �y; ��%,,n� <br />/• -7 l�G�ll <br />�y <br />a G �o� 7�,�, <br />HEATSOURCE <br />_ [lectric _ Gas _ Other <br />..�� ��n�r rnuno jdG 7 r!�7 � <br />O� � <br />S� l�Qvlf UJ/� `37G3 �, <br />I CONTRACT PRICE OF WORK <br />7a�.�a <br />WORK DESCRIPTION <br />�ci?,: � �� z�r;��� �o;ri' - �n-�-f,�-%i /'�lf e �p�,c Ci7 /i�� �- <��v����, �c,� <br />�1�,�-�;1� �h���lr-f+�. <br />n� ����o���i. __-__.. <br />NO. I TYPE OF fIXTURE OR ITEM <br />Toilet <br />�athlub <br />Lavatory (wash basin) <br />Shower <br />_ Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/badmop/etc.) <br />BackOow prevenler <br />Urinal <br />Drinking Pountain <br />Floor drain <br />Grease trap <br />Roof dreins � <br />,�_ Other _ prCv �'G�� i . <br />NO. � TYPE OF FIXTURE OR ITEM <br />NC - air handling unils <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas 5;eplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unit heater <br />Doiler <br />Refr'geration <br />Woodstove <br />_ Olher <br />CIN OF EVERETT IOCAL SALES 7AX CODr iS 3105 <br />I hereby certify ihat I have read and examined �hi, application and know the same to be Irue and correct. All pwvisions of laws and <br />ordina Ee�sl'goveming this lyp�"ol work wil� be co lied w ih whether specified herein or not. The oranting o( ci permit does not presume <br />lu gi aufnord , b violate dr.cnnc I Iho ovisi of an oIL•er s�ate or local law re9ulahng consiruction or the pertormance of <br />co tr��ctibn�t I am�ho^i ^ec�yl e o^^ r of t^ property to perlorm the work for which apF�lication is made and I comply wilh the <br />��/d`�//C� . <br />