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SITE ADDRESS <br />� iC Cc- <br />LEGA LOT NO. <br />i <br />(7C h%i�L/ '�'� �/ri K.(�E <br />TENANTNAME <br />CONTRACTOR <br />CONTR. LICENSE # <br />USE OF BUILDING <br />WORK OESCRIPTION <br />PE��MIT APPLICATIOh <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK I TRACT <br />��//�.PvcM i ai�r"%-. <br />PLUMBING <br />NO. I NPE OF FIXTURE OR ITEM <br />Toilet <br />6alhfub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Laundry Vay <br />Sink (servicc/bar/mop/olc.) <br />Backflow preveNer <br />Urinal <br />Drinking Faunlain <br />Floor drain <br />Grcasetrap <br />Roo( drains <br />I Olher <br />PARCEL TAX I.D. # <br />'LLi�^3 »� <br />CONTACiFORPERMiT <br />ADDRE55 <br />HEATSOURCE <br />Electric Gas O�.her <br />PERMIT N <br />PGS��-OGz- <br />CITY2IP PHONE <br />� ,y yLf <br />sr— LrJooA'/,4'Ii/i�i✓A. zS9-z', <br />PHONE <br />CITV2IP PHONE <br />I CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE 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 />Exhaustfan <br />Heat pump <br />Unil healer <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 7105 <br />I hereby cerilify lhat I have r:ad and examined this application and know lhe same to be true and correcL All provisions of laws and <br />ordinaces 9oveming this rype o( work will bo complied with whether specified herein or noL The granting of a permit does not presume <br />lo c�ive authority lo violale or cancel the provision ol any other state or local law regulating consWction or the peAormance of <br />construction. Thal I am authorized by lhe owner of Ihis property to peAorm ihe work for which applicalion is made and I comply wilh lhe <br />State Coplraclors Law 18.27 RrW aryY19§.200 WAC. <br />/o-GoS Qp5)G �2- <br />n��o <br />