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. <br />y <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS ��,a s. R�� �r.�✓e <br />LOT NO. 9LOCK <br />y � a� 9 <br />11a� I� � <br />TENANT E <br />Pvc�('�u Lons <br />CONTR. LICENSE N <br />Pr�c.i <br />USE OF BIIILDING � <br />�b�,iaJ��ci C <br />WORK DESCRIPTION <br />r PARCEL TAX I.D. K <br />on o 800qo' <br />TRACT OR UBDIVISION M <br />-enT�-aQ.�A�k aad�� <br />ADDRESS <br />'7(l�as �UL�Ir/T� <br />CONTACT FOR PERMIT <br />f1'1���t A . k�r t�d' <br />�- ADDR65F2SI3 ��/r✓F �CCt?�� <br />ss�,�r�.r ' y <br />�l L.2 ��'nP1 � �ncd <br />HEAT SOURCE ��A <br />rr <br />�P _ Electric _ Gas _ Other <br />r' �r�si�ucT �e ir�chac(, <br />NO. I TYPE OF FIXTURE UR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clo�hes washer <br />Water heater <br />Sink (service/badmop/e�c.) <br />Oackflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease Irap <br />Roo( drains <br />Olher <br />� <br />N�� <br />� <br />PERMIT 1f <br />`��-UZI <br />�'v��t-f 9�03 �� <br />PHor+e Nas as��-�13138 <br />E-MAIL�I I07 7D��Ol/�?91I� <br />CONTRACT PRICE OF WORK <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas tireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unit heater <br />Boiler <br />Retrigeration <br />Woodsto�•� <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 110C <br />��Q <br />I herel�y certify that I have read and examined Ihis applicalion and know the same to be true and cortect. All provisions oi laws and <br />ordinances goveming this type of work will be complied with whelher speclfied herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel lhe provision of any other state or local law regulaling construction or the performance ot <br />construction. That I am authorizecf by Ihe owner of this propehy to per(orm the work for which application is made and I comply with tha <br />State Conlractors Law 18.27 RCW and 296200 WAC. <br />`;f �41,'�vr`; <br />� � Date � <br />v <br />