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SITE ADDRESS <br />v a �E <br />LEGA LOT NO. <br />DESC. � g <br />OWNER <br />JA ���� <br />TENANT HAME <br />�l�w��s P� <br />�— <br />CONTR. LICENSE % <br />USE OF BUILDING <br />�-IOVYI� <br />PERMIT APPI�ICATIO►N <br />CITY OF EVERETT PEiRMIT SERVICES <br />3200 CEDAR STREET, E�/ERETT, WA 98201 <br />425-257-8810 — FAX 425-257-2.857 — www.everettwa.org <br />APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. N <br />�✓� Oo "S o0 ao <br />BLOCK TRACT OR SUBDIVISION N <br />Z Lh,��(f;c, ITt�(C�+(�� <br />P K��� <br />C' <br />G <br />� � a,g�� <br />�9a9-i/3 <br />PERMIT / <br />/'/>9/X' -O// <br />CITY2IP PHONE (,' �� �� <br />ss� �i�,�- ��r, 9e,�,� <br />CONTACT FOR PERMIT PHONE Ci� �38 _"� (E �� <br />�7 l <br />��C� P �CL�-'� EiIAILOK.�LLS ��MC/� <br />S l; � F/0 �.1►A-L12 <br />HEAT SOURCE CONTRAGT PRlce oF wunK <br />� lectric _ Gas _ Other <br />WORK DESCRIPTION ��D I„r 10� I 1��,/1��Dt—L �(�I S���'✓G <br />1� Y�1 <br />NO. I TYPE OF FI%TUftE OR ITEM <br />Toilel <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/badmop/elc.) <br />6ackflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />(o/4s�' <br />�'r2UcT[�2� <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />E�ausl fan <br />Heat pump <br />Unil healer <br />Boiler <br />Rafrigeration <br />Woodstove <br />Olher <br />CITV OF EVERETT IOCAI SALES TAI( CODE I6 3105 <br />1 he, �by ceritify Ihat I have read and ezamined this application and know lhe same to be true and coRect. AII provisions of laws and <br />ordinaces governing this lype of work will be complied with whether specified herein or not. The granting of a permit does nol presume <br />lo give authority to violate or cancel lhe provision of any olher state or local law regulating wnsWclion or the performance ot <br />construction. That I am aulhorized by the owner of this property to peAortn the work for which application is made and I wmply with the <br />----... ._ ................ � . <br />LI <br />��a <br />