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SITE ADDRESS <br />yp2 WOG�S <br />LEGAL LOT N0. <br />DESC. <br />�tRMIT APPLICATIUN <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 8 AM TO 4 PM <br />qgzo3 <br />Pl tN�� WA <br />BLOCK <br />PARCEL TAX I.D. # <br />oo53L�lo oeo 0 30 � <br />TRACT OR SUBDIVISION # <br />pqN��-L � SHAUVNNC TpNNE 5 �$ZO LA�UM�Y� (LD <br />TENANTNAME <br />CONTR. LICENSE p (��1J ��' <br />USE OF BUILOING <br />WORK OESCRIPTION <br />f10�/l � F/dM�C `i <br />CONTACT FOR PERMIT <br />5 HqvaNr� -raN�E S <br />HEATSOURCE <br />Electric Gas Olher <br />I-1-ani� i�v S� r i Unl <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilcl <br />Bathlub <br />Lavalory (wash basin) <br />Showcr <br />Kitchen sink 8 dispasal <br />Dishwasher <br />Clolhes washer <br />Wa�er healer <br />Sink (service�badmop/otc.) <br />Backliow prevenler <br />Urinal <br />Drinkinc� Fountain <br />Floor drain <br />Grcase lrap <br />Roo( drains <br />Other _ __ <br />��v�v+�i /9$zo8 <br />PHONE zu� <br />g .-a -o� <br />R/M/IT i,�) <br />/UJ ' �"� <br />VE <br />�6 •z�l, �vo5 <br />2�i • 7vaS <br />E-MAIL TONNC- S� V. WASN <br />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 />Ezhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />I hereby ceritify Ihal I have read and ezamined lhis appiicalion and know the same to be Irue and correct. All provisions of laws and <br />ordinaces c�overning Ihis type of work will be complied with whelher specilied herein or not. The granting of a permit does nol presume <br />to give authorily lo violate or cancel Ihe provision o( any olher state or local law regulatin9 construclion or the performance of <br />consUuclion. Thatyare uthorized by lhe owner of this property to peAorm the work (or which application is made and I wmply with the <br />Stale'�Nractor5 Law 1.27 RCW and 29G200 WAC. <br />G.,�/i/,'n�� �, .� �-a�l ��,_ slz�o7 <br />�ro� <br />