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SITE ADDRESS <br />_5�03 Sun <br />LEGAL7 LOT NO. <br />P`tRMIT APPLICATION <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 />/ [�n� CVL 2 <br />BLOCK <br />TRACT <br />PARCEL TAX I.D. # <br />y�i9o0oo51oa <br />6 --ab -06 <br />PERMIT # <br />%li�n�)`� ���� <br />Lisr� �uKan ➢�a�Box 3�5� NluiGlfeo 9�.?75 y�?S-�4y_S8`�� <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />� 1%sr� i�� yas-asa-3� � � <br />CONTRACTOR <br />CONTR. LICENSE N <br />USE OF BUILDING <br />� <br />�i��i� r-�rri,�y s� de��ce, <br />WORK DESCRIPTION <br />/crs�� hGard h �� � <br />,�e/ba ✓e <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Ba�h�ub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink & dis{wsal <br />Dishwasher <br />CloUies washcr <br />Waler healer <br />Sink (service/bar/mop/etc.) <br />Backflow prevenlcr <br />Urinal <br />Drinking Founlain <br />floor drain <br />Grease lrap <br />Roo( drains <br />Olher <br />ADDRESS <br />HEATSOURCE <br />CITY2IP PHONE <br />� Electric _ Gas _ Other <br />�1�s��/� ��e� h��� <br />w, fl, /f/G <br />CONTRACT PRICE OF WORK <br />P�P �e%c��) <br />NO. I TYPE OF FIXTURE OR ITEM <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rangehood � <br />Ezhauslfan <br />Heatpump'W�� �� <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />I hereby cerili(y Ihat I have read and examined this application and know the same to be true and correcL All provisions o( laws and <br />ordinaces goveminc� lhis lyp� of work will be complied wilh whether specified herein or noL Tho granling ot a pertnil does nol presume <br />to give aulhority lo violate or cancel the provision of any other state or local law regulating consWction or the pedormance of <br />construction. That I am authorized by the owner of this property to pedorm the work for which application is made and I comply with the <br />Slale CoIj traclors Law 18.27 RCW and 296.200 WAC. <br />�J,�;� /1-1a��1�i�� s����o� <br />