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0 <br />SITE ADDRE$^� <br />01► c <br />LEGA LOT Nf <br />DESC. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8610 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM <br />BLOCK <br />TENANTNAME J <br />��— <br />Clll I�CG��III( �I1C. <br />CONTN. LICFNSE M � <br />� - - _ �4.C,� - <br />USE OF BUILDING <br />WORK OESCRIPTION <br />� <br />��Uil C�CIS (I Il�- � <br />PARCEL TAX I.D. # <br />'.���J�I4�C��t <br />TAACT OR SUBDIVISION p <br />iDll Irni�IC 1�; <br />I CONTACT OR PERMIT <br />� <br />( �g - /a <br />?ERMIT # <br />�r1�!,Il�-i"�i0 <br />�,,�e,� tl `l �'�o � ���� z5v <br />imor� <br />�$$— CRYRIP N17VHt <br />��iI�J ��IOC.C�II'r�..l �l/�I'� �Z�J 2 �� �"�'�: <br />J `� � [�� � <br />FiEAT SOURCE CONTRACT PRICE OF WORK <br />_Nectnc �Gas_01hcr ��,�- � �"� <br />F���. �1151G �� �CiS f11St'�-t <br />NO. I TYPE OF FIXTURE OR REM <br />Toiiet <br />-- BathWb <br />Lavatory (wash basln) <br />Shower <br />Kitchen sink 8 dispasal <br />Dishwr.shcr <br />� Clothes washcr <br />Watcn c�ater <br />Sink (servicelbarlmop'etc.) <br />Backllow preventer <br />Urinal <br />_ Drinking Fountain <br />Floor drain <br />Grease trap <br />Rool drains <br />Othcr <br />NO. I TVPE OF FIXTURE OR REM <br />—�— <br />WC — air handling units <br />Forccd air syslems <br />Gas piping <br />Watcn c�atcr <br />Gas lireplacc <br />Gasran8e <br />Clothes dryer <br />Rangc liood <br />Exhausllan <br />Heat pump <br />Unit heatcr <br />Bailer <br />Refrigeration <br />Woodstove <br />Othcr __ <br />CITV OF EVEHETT LOCAL SALES TAX CODE IS 7105 <br />I heieby ceritify Ihat I have read and ezamined this applicalion and know the same to be tme and correct. All provisions ol laws and <br />ordinaces gaveming ihis type ol work will be complied with whe0ier specitied hercin or noL The granting ol a permit does no� presume <br />to give authority to violate or cancel tl�e p�ovision ol any oRier slate or local law regulating construction or ihe perbrmance ol <br />construction. That I am =uthorized by ihe owner of this pmperty to perbrm the work lor which application is made and I compty with Ihe <br />State CunVadors Law 18.27 RCW and 296.200 WAC. <br />�%E'�)�)li �'�n�LP_1'i- �� S'�C' <br />