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r <br />� <br />SITE ADDRESS <br />5aC lt/Er <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />17E�VN/3 � <br />TENANTNAME <br />c <br />PErtMIT APPLICATIOri <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREEl, 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. � <br />�aRsf�ol � <br />BLOCK I TRACT <br />PERMIT X <br />4?-5 • 355'• 3F6✓ <br />CONTACTFOR PEnRMI.T,, PNONE <br />gW"�I�l� 1=-1t�L' C.�1'�� �i %� %% S-lOY (r� <br />CONTRACTOR ADDRESS CITYIZIP PHONE <br />DA�tr►�� �� P�mcG- r�-If'tG- It�UIN i3..tAq.,e.� LYn1N�'� ,�u �s;-�YG�. <br />CONTR.LICENSEp ^�y��D�+d� � <br />y � � CVt'` 9Erl�.� % <br />USE OF BUILDING <br />HEATSOURCE <br />_ E�ectric �Gas _ Olher <br />CONTRAC7 PRICE OF WORK <br />� �; 5��t. �J <br />WORK DESCRIPTION <br />k�/'cRLE �xtsnnlC— C*�S ���nl�4CE uJ17"N N� <br />�its 'Fc,r=MAc� y� sp-n�•� Lac.f+no� . <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />1Nater heater <br />Sink (servica/badmoplelc.) <br />BackOow prevenfer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease lrap <br />Rool drains <br />Other <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Cb(hes dryer <br />Range hood <br />Exhausttan <br />Hea� pump <br />Unil healer <br />Boiler <br />Refrigera�ion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TN( CO�E IS J105 <br />I hereby ceritify thal I have read and examined this application and know thc: same lo be true and cortect. Ail provisions of laws and <br />ordinaccs �3oveming Ihis type of work H�ill be complied wilh whether specifir:d herein or noL The granting o( a permil does not presume <br />lo give aulhority to violate or cancel �he provision of any other slale or local law regulaling construction or the performance of <br />conslruction. That I am authorized by ihe owner of Ihis property to perfomi the work tor which application is made and I compiy with the <br />