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SITE ADDRESS <br />1`ilq Si/is"£ Qdr_. <br />LECAL LOTMO..,. <br />PE�KMIT APPLi CATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — uww.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. N <br />ov5�323`� �voaoc� <br />� / � TRAC`1 7 / ! I�Ii�I� <br />�0��� �� <br />U �'3 �(`°�� <br />U ����,,� cc� <br />ri <br />�e,�rt' ,�ar,-,�o�c�l ll�7-2 7rT" Lr. SF �v<�t; 7�ZG.�' (vz5)337 c?<.; � <br />r <br />TENANT NAME CONTACT FOR PERMIT PNONE <br />CONTRACTOR i� �; ..+� AU�RESS CITY2IP PHON/E 1 <br />r•'�3.��0. .n.�.i..L✓�: . ���7<' : ��li(. 5� ,r(:� )p � � `�`SJiS�'G�.Z.% <br />v <br />CONTR. LICENSE p �'J � r� �� � �` J <br />Ui(��,SC1 l���i��� l�ZC��L�� <br />USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br />Si,�,��y �,:�.,.��y u�'..������-, _Eleclric�,Gas_Olher �%t�.��CG',�J.�� <br />WORK DESCRIPTION <br />�okl iG^��U.,'�'icr... . <br />/ �. <br />NO. � TYPE OF FIXTURE OR ITEM <br />� <br />Toilet �' <br />Balhtub' ' <br />Lavatory (wash hasin) r!' <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Walen c�ater <br />Sink (servicelbadmop/elc.) <br />Back(low preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air syslems <br />C,;3s piping <br />W ;er heater <br />Gas tireplace 11 �-(�L� <br />Gas range �/' � <br />C�othes dryer „ „ �Y <br />Range hood C� <br />Ezhaust fan -�; ,�, �t <br />i ieal pump <br />Uoil healer v� <br />Boiler <br />Re(rigeralion <br />Woodstove <br />Olher <br />CITY OF EVERETi LOCAL SALE' TAX CODE IS 3105 <br />I hereby c�riti(y that I have read and examined this application and know the same to be lrue and wrrect. All provisions of laws and <br />ordinaces goveminc� Ihis type of work will be complied wilh whether specified herein or nol. The grantiny oi a pertnil does not presume <br />io give authority to violate or cancel the provision o( any other slate or bcal law regulating construclion or the pertormance of <br />construction. That I am authorized by lhe owner ol this property to perform ine work (or which application is made and I comply wilh the <br />Stal�nl�aclors.4aw 18.27 R jW and 29G200 WAC. <br />��� � —• / �/y/ _'> <br />