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SITE ADDRESS <br />t..r �, <br />LEGA LOT NO. <br />DESC. <br />OWNER <br />/�� -� 1 � � <br />TENANT NMIE <br />�kA�ib�— <br />`�'C,�rc.U�,C .. •Kc � ;�,� <br />CONTR. tICENSE N <br />����f( <br />USE OFBUILDING <br />WORK DESCRIPTION <br />I�cRMIT 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 AM TO 4 PM <br />PARCEL TAX I.D. N <br />BLOCK I TRACT OR SUBDMSION i! <br />C1� ��e.r� �,t <br />CONTACT FOR PERMIT <br />k(olu [=✓e;c�.c.:..�,�,����� <br />NO. I TYFE OF FI%TURE OR ITEM <br />Toilet <br />Bathlub <br />Lava�ory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Waler heater <br />Sink (service/bar/mop/etc.) <br />�ack9ow prevenler <br />Urinal <br />Drnkinc� Founlain <br />Floor Arain <br />Groasetrap <br />Roof drains <br />Other _ <br />NEATSOURCE <br />'�[lectric _ Gas _ Olher <br />�};�p F1 <br />PHONE <br />/ / - S -/D <br />PERMIT # <br />�1 �D�� -01 <br />l(LS�Sri �Stt1 <br />CONTRACT PRICE OF WORK <br />G �� <br />D <br />NO. I TYPE OF FIXTURE OR ITEM <br />A!C — air handling uni;s <br />Forced air systems <br />Gas piping <br />Waler healer <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhauslfan <br />Heat pump <br />� Unitheater i�'mX\�(�rc1�� <br />Boiier <br />Refrigeration <br />Woodstove <br />CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify thal I have read and examined this application and know thQ samo to be true and correct. All provisions of laws and <br />o'9inaces poveminp Ihis type o( work will be complied wilh whether specified herein or nol The granting at a permit does not presume <br />tu give aulhority to vio!ate or oancel the provision o( any other state or Iocal law regulating conslruclion or the performance o( <br />construction. That I am authorized by lhe owner o( this property to periorm Ihe work for which applicalion is made and I comply with the <br />State Con�raclors Law 18.27 RCW and 29G200 WAC. <br />SignaWre of O�+neqContractodAuthorized Agent Dale <br />