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SITE DRC55 <br />��� <br />IEGAL LOT NO. <br />DESC. <br />OWNER <br />���.-� r �- <br />TENANTNAME <br />P�RMIT APPLICATI(�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 – FAX 425-257-8857 – www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 A�A TO 4 PM <br />— —v���'y/' 1�(F��l <br />� BLOCK <br />�� �o��e�, <br />r( <br />CONTR. LICENSE d " ' <br />�Q L L r� <br />USE OF BUILDING <br />� vr ��,�,,� <br />wo,}fi ��c5 <br />PARCEL TAX I.D. k <br />TRACT OR SUBDIVISION N <br />ADDRESS <br />�o r�l- U,r�,�,� <br />CONTACT FOR PERh11T <br />;va� � <br />L <br />PERMIT # <br />M0�6q� U38' <br />%verPf�` ��c'O/ `�zS•�3y-z <br />.,.��3oz6-Y s e"� i �, <br />HEATSOURCE <br />� Eleclric �Gas _ Other <br />PHONE y ZS -�g — S yY� <br />e�na�� q�� P,t'o a< tiraG �rS <br />PHON cv�toi• <br />co emyrt wA yz.� 3sss <br />99zo5� <br />CONTRACT PRICE OF WORK <br />`� 75d - C� <br />WORK DESCRIPTION i�� l �� �� �<< S n,d7� �.y� p.�_ `/ IC� <br />��` /' / <br />/� � �c-�-w S � v-e__ <br />N0. I NP[ OF FIXTUR[ OR ITEM <br />Toilel <br />6alh�ub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />W aler heatcr <br />Sink (serviceNadmop/etc.) <br />Backflow preveNer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling unils <br />ForceA air syslems <br />Gas piping <br />Waler healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range liood <br />Exhaustfan <br />Heal pump <br />Unil healer <br />Boiler <br />Re(rigeration <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby cenlity lhat I have read and examined this application and hnow the same lo be true end correcl All provisions ol laws and <br />ordinaces goveming lhis lype ot work will be complied with whether specilied herein or noi. The c�ranling ot a pemiit does nol presume <br />�o give aulhority lo violale or cancel lhe provision o( any other state or local law regulating conslruclion or ihz performance of <br />construclion. That I am aulhorized by lhe owner of lhis property lo peAorm lhe work tor ���hich applicalion is made and I comply wilh lhe <br />Slate Co �,✓lo�L�� 18.�RCN^d 296200 WAC. <br />/ �'7—Z/•O% <br />