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�tRMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAi( 425-257-8857 - www.everettwa.org % �3 -0� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� �p • j� <br />SITE ADDRESS ,3 rJ a GUe���/gR a �e PARCEL TAl( I.D. � P/f R • ,/ <br />i✓.,...�.� ..�w �nn.,/ .�,...rli�tn �.c� 19�n l� �� Y_�/7 <br />LOT NO. I 6LOCK <br />/ <br />TENANTNAME <br />TX CoNs� <br />CONiR. LICENSE K <br />USE OF BUILDING <br />WORK OESCRIPTION <br />Q <br />�ow S.? (2�� P�5 <br />, 3 s�%� <br />NO. I TYPL OF F!KTURE OR I7EM <br />:.7 <br />-e- <br />Toilel <br />Dalhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Cinlhes washer <br />Water healer <br />Sink (szrvice/badmop/elc.) <br />Dack(low prc•veNer <br />Urinal <br />Drinkir� Four��ain <br />Floor drain <br />Grease lrap � <br />Ruo( drains <br />Othcr _ <br />TRACT OR SUBDIVISION It <br />e;,�n.r< /�t /.ln, <br />CONTACT FOR PERMIT <br />Ef�z e7T <br />rnvnr�e,,;� "SD 7 • / / D 7 <br />?�o�,STa ue fie�, � ere ✓�MaN.Co <br />e�n+a� <br />�D. 3� � M t� y s. 98�: <br />�f EY«Etf"LiCen.s� � <br />HEAT SOURCE <br />7�'Eledric _ Gas _ Other <br />NTRACT PRICE OF WORK <br />;5-l. 9s�. °% <br />IGAL <br />NO. I TVPE OF FI%TURE OR ITEM <br />�' A/C - air handiiny <br />� Forced air syste <br />Gas piping <br />Water heat <br />Gas firepl ce <br />� Gas ra e <br />b lol s dryer <br />� e hood <br />_ - He�usl fan <br />Unil healer <br />F3ciler � <br />Refrigeration <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify Ihat I have read and examined Ihis applicalion and know Ihe same to be truo and correcl All provisions of laws and <br />ordinaces governing this type ol work will be complicd wilh whether specilied herein or nol The granlin� of a permi� does not presume <br />lo give authoriry to violale or cancel the provision oi any olher stale or local law regul�ting construction or lhe periormance of <br />cunstrud�'�j Tha� 1 am �au nzed by the owner o( this property lo periorm the work br which application is made and I comply wilh lhe <br />Stal�ConW.-�tors Law 1Ei.�'/ RCV�Vand 29G200 WAC. <br />-�/ - � t}' <br />Date l/� <br />� 3� �y S � <br />