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SITE ADDRESS <br />� �--,�_ ,, - <br />, � 'i i �� <br />LEGAL LOT NO. <br />DESC. <br />PERMIT ,4PPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />PARCEL TAX I.D. # <br />�.- 4� C-r� %1 �`_: �co � r_� <br />BLOCK TRACT OR SUBDIVISION N <br />t� -aa-Oq <br />N <br />VYYRhK NuuReoa �.�i vur rn�nc�i z C 7 i- � <br />i � � '- - /\1l; ; ;% '! ', li�� I.� ) %�10� ��a0 <br />TENANT NAME CONTACT FOR PERMIT PHONE �(,,' � 4 L� L S" ) <br />� C 1 (t <br />' `: ` � .. � li , ( E�MIAIL <br />� I <br />CONTR. LICENSE k <br />USE OF BUILDING <br />,, <br />WORK DESCRIPTION <br />L ir r i , � <br />N0. I TVPE OF FI%TURE OR ITEM <br />Toilct <br />831h1U6 <br />Lavalory (wash basin) <br />Shower <br />Ki�chen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Water healer <br />Sink (service/badmop/elc.) <br />Dackflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />HEATSOURCE <br />_ Eleclric _ Gas _ Olher <br />. . �� c�.'r-.�l_r:����% <br />, `� <br />CONTRACT PRICE OF WORN <br />J,l, 7 C�"7� — <br />i. -- , <br />N0. I TYPE OF FI%TURE OR ITEM <br />A/C — air handling miils <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas lireplace <br />Gas ranne <br />Clothes drycr <br />Range hood <br />Exhaust (an <br />Heal pump <br />Unit heater <br />Boiler <br />Re(rigeretion <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TA7( CODE IS 3t05 <br />1 hereby ceritify Ihat I have read and examined ihis applicalion and know Ihe same to be true and correcl All provisions of laws and <br />ordinaces c�overning lhis lype of work will be complied with whelher specilied h�rein or nol. The granting of a permit does not presume <br />lo give aulhority lo violale cr cancel Ihe provision o( any olher stale or local law rec�ulating conslruclion or the performance of <br />construclion. Thal I am authorized by lhe owner o( Ihis property �o pertorm the work for which applicalion is made and I comply wilh the <br />Slale Conlraclors Law 18.2? RCW a0d 29C,.200 WAC. <br />) /�, � <br />SignaWre ol OwnedContradodAulhorized Agent Dale 1/ <br />2 <br />