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SITE ADDRESS <br />! I l C` l,v I I <br />LEGAL LOT NO. <br />DESC. i � �v t":.`0� <br />�il�icn, r� <br />TENANTNAME <br />PERMIT 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 B AM TO 4 PM <br />IJi <br />BLOCK <br />72Z <br />. <br />� �'�n cH <br />CONTR. LICENSE N _ n^ ) <br />W/�v <br />USE OF BUILDING . s <br />re5�,l,,,�,�� � \s��'�� <br />WORK DESCRIPTION <br />. rcpl4cc <br />W,.,dow7 <br />��i���+�o,\ ��wnyc'7 <br />I 1 <br />C �1q�4�'_ <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toile� <br />Balhlub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water healer <br />Sink (service/badmop/elc.) <br />Rackllow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease Uap <br />Roo( drains <br />OIhCf <br />PARCEL TAX I.D. N <br />OOy 3�5 722 60 <br />TRACT OR SUBOIVISION k <br />10610 <br />CONTACTFORPERMIT <br />PHONE <br />I 5 �i I� �- E�HIAIL <br />HEAISOURCE <br />_ Eleclric � Gas _ Other <br />redv s�� <br />t3 � ae.{� � rec� o <br />�'7Ui� wc�rK <br />S�a��rt:(l� � <br />,r/ p�i0 - cb� <br />CL� b�-D�-S <br />zS )i3u -zy[ S <br />CONTRACT PRICE OF WORK <br />'3�,�00, �6 <br />��tS�AQ, � sdn7'� <br />i'l)pllul�u� � <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />� Gas piping <br />Water heater <br />Gas fireplace <br />I Gas range <br />Clothes dryer <br />I Range hood <br />Exhaust (an <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodslove <br />Olher <br />I rj .Jo�� <br />�f;,���. z <br />CITY OF EVERETT LOCAL SALES TA7( CODE IS �I05 <br />I hereby cerili(y that I have read and examined this application and know the same to be We and correct. All provisions oi laws and <br />ordinaces governing lhis type ot work will be complied with whe�her specilied herein or nol. The granting of a pertnit does not presume <br />lo give authoriry to violate or cancel the pmvision of any olher state or local law regulating construction or tho peAormance of <br />consWction. That I am authorized by the owner of this pmperty lo pe�form ihe work for which applicalion is made and I comply wilh the <br />Slale Conlractors Law 18.27 RCW anA 296.200 WAC. <br />