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SITE ADDRESS <br />� I 4lp <br />LEGA LOTNO. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - wwuveverettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />,,]DUNO fYVE• <br />BLOCK <br />$ PnsrYE. S�•�voE.2 <br />TENANT NAME <br />4 i « � P��rvc S►.,y�z <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />5��i:i 5Dw+0 r7yk <br />CONTACT FOR PERMIT <br />9TEVE FRAZ�EIC. <br />G�5 HE/Riao,<va�.�` tEcEcyR�c <br />:ONTR. LICENSE # <br />(�51iT�', SN93p RK <br />USE OF BUILDING I <br />�ES� P Eu�.t� I <br />PERMIT 11 <br />EVERE'T `IS2� <br />P 12�-411-Z32ff <br />E-MAIL EIiEMtIC�%.< <br />E$$ i.nvur r��....� ���•�9�' <br />50o E,MMr� N MoNRaE 9Y272 <br />HEATSOURCE <br />Electric � Gas _ Other <br />coNTRncr rn��e vr vr�R� <br />WORK DES�RIPTIOM COF.fVERT�NG El.4c�R�c FuRNAGE 's0 6AS� AOD G�S SERWC.E <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Water healer <br />Sink (service/badmop/elc.) <br />Backflow preven�er <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Fo�ced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Ciothes dryer <br />Range hood <br />Exhaust fan <br />Heatpump <br />Unit healer <br />Boiler <br />Refrigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />I hereby cerlify that I have read and examined this application and know the same lo be true and correct. All provisions of laws and <br />ordinances governing this lype o( work v�ill be complied wilh whelher specified herein or nol. The granting of a permit dces not presume <br />to give aulhonty to vidate or cancel the provision oi any olher state or local law reguialing construction or Ihe pedortnance oi <br />construction. Thal I am authorired by the owner of this property to perform the work for which application is made and I comply with 1he <br />State Conhaclors Law 7 RCW and 29G200 WAC. <br />�i� � �� l -Z`l�' 10 <br />