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SITE ADDRESS <br />LOT NO. <br />PE�KMIT APPLICATION <br />CITY OF EVERETT F'ERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FRQM 8 AM TO 4 PM <br />PARCEL TA% I.D. # <br />daysFBi 3��o s' D U <br />BLOCK TRACTORSUBDIVISIONN F3GK /�� <br />L c.• / 5� //� L c L vTS $ r� <br />ERMIT # <br />�� <br />�-O6-L�ss N/c�T <br />C'Kifdk�Y/CW �➢�- O 7t= L-V, <br />OWNER NUURCJJ ��in�ir �^•,�•� yZs� <br />e.t,9io.-../,...�i<' arzsu.� �/i Xuc�rc�rA�t:vc�r" L�c.trn;4�d �61�i ZS�4- 94 $S <br />TENANT NAME CONTACT FOR PERMIT PHONE y LS - Z S�- SG 4S <br />�'/� L2N�ri' �CLSa,� �i.�c'.t.C�2c� - Y➢3' 5393 <br />E�7AIL <br />ONTR C J�-)cF vTi�A /7 j'C � � <br />13e-�-�zx.tN (��n.snzu�:iv.✓ !-tC 1/ZS-9S3-/�li.� <br />CONTR. LICENSE fl - <br />B�.�r��C'c 9Z��e�v 9s�y yr3s.-.,v.L S..�n-�rZ�/ LAKcsJZ,¢� w�1 96 <br />USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br />(n,encz�/i2�c.tc>-;T��.�2�•�••, �Electric _Gas_Olher � LZ,�Ii� <br />WORKDESCRIPTION (,-,�.i„-n�.c,-7v,.� U�= /a Z L��/t G�'rx�ACz- l���1 ZNO 5��� <br />/ZC"LKcn7'7cti+ <br />Cr r�Lc�--�. <br />�LOo.-., ARJvG-',�Oc-T►ac.�to-iJ�. <br />.�C ��C H C t'-s ��i C-...JT C� L/7 i�-OSC if ��� .+� tr L✓A�C f` w�i ^�S�%YC L/J77uaJ <br />I �,�rr �../ C�w/�C/L�-Crr J71 /Y+.t T T/L' S � N70 t= K�s r..�� Sc-�-�-�c . <br />NU. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />8alhlub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Cblhes washer <br />Waler heater <br />Sink (servicelbadmoplelc.) <br />Backflow preventer <br />Urinal <br />Drinkinn Founlain <br />Floor drain <br />Grc2sc lrap <br />Roof drains <br />Olhe�1=T`!i'.C[r�c cc,nrt�c i3�� <br />NO. <br />TYP[ OF FIXTURE OR ITEM <br />NC - air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas (irep!ace <br />Gas ran�e <br />Clolhes dryer <br />Range hood <br />Exhausl fan <br />Heal pump <br />Unit hcaler <br />Boiler <br />Relrigeralion <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX COUE IS 3705 <br />I hereby cerilify that I have read and examined lhis application and know lhe same to be true and correcL All provisions of laws and <br />ordinaces governing this tvue o( work will be complied ��ilh whether speci(ied herein or noL The granting of a permil does not presume <br />to �ive aul oriryto viola�e or cance lhe provision ol any olher slale or local law regulating construction or the pedortnance oi <br />wnstru iorj. That 1 am ' ed by the owner ot Ihis property to perform tho work lor which application is made and I comply wilh the <br />Stata ondactors Law 1. CW and 296.200 WAC. <br />�/3c}�c y <br />�Z <br />