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SITE ADDRESS <br />� <br />�J V1/e�, <br />LFGA LOT NO. <br />�.. <br />TENANTNAME <br />L <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.everettwa.org �/Do7— f7 �� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />� I11 <br />PARCEL TAX I.D. # <br />0(�49�9►iioo�p <br />TRACT OR SUBDIVISION p <br />LCf,�n• AorK nad <br />J{�ag 9�r� Sf S 1�/ i�uk'. � <br />CONTACT FOR PEZMIT <br />PHONE <br />PERMIT <br />5 � 1 `i <br />�CL I �GM�� �n��fi�i.h.� �a E•MAIL �..�..�n.v ... .+,..�.c�.�. <br />I <br />l i..C,•,�roc1L� 7nc. �s9.�6 Ca.�;��� 1?i �n+tin..:y, ,{�/q. 9Y)5! JOc�yao• i3�f <br />,pqr;a <br />CONTR. LICENSE # <br />��_.�: , ; o�a PA <br />USE OF BUILDING <br />s i-. R. <br />WORK DESCRIP710N <br />3���A� r C�.+�,..+;� a�..., �}!� <br />PLU;IAHING <br />WO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />BaP�Wb <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 dispwal <br />Dishwasher <br />Clothes washer <br />Waler healer <br />Sink (service/badmop/etc.) <br />�ackllow preventer <br />Urinal <br />Drinking Founlain <br />Ploor drain <br />Grease hap <br />Roof drains <br />Other <br />HEATSOURCE <br />[lec�ric Gas Other <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIY.TURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Ciothes dryer <br />Range hood <br />Exheust fan <br />Heat pump <br />Unit healer <br />Boiler <br />Refrigeretion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TA% CO�E IS 3105 <br />I hereby cerlify that I have read and examined Ihis applicalion and know Ihe same to be true and correct. All provisions oi laws and <br />ordinances goveming lhis type of work will be complied wilh whether specified herein or noL The granting oi a pertnit does not presume <br />�o give aulhorily �o violate or cancel the provision of any other state or local law regula�ing wnstruction or Ihe peAormance of <br />consiruction. That 1 am authorized by the owner of this properry to perform ihe work for which application is made and 1 comply with the <br />State CoNraclors Law 1827 RCW and 296200 WAC. <br />i' <br />