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SITE ADDRESS <br />�o/Z <br />LEGA LOT NO. <br />DESC. ZZ�f z <br />i�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 />�Tp7� �7. <br />PARCEL TAX I.D. # <br />� GY� S(o3Z y�// <br />TRACT <br />5los. � <br />PERMIT N <br />IY�� c. <br />�i¢f�.K �55i�cJGF1L, L�z.�J!*�. l93�i.57. �/AQtt�i�, Gth�" <br />TENANTNAME I CONTACTFORPERMIT PHONE <br />CONTRACTOR <br />CONTR. LICENSE # <br />USE OF BUILDING <br />�L25 / 7'iL°�itJ 7/%�"L— <br />WORK DESCRI�TION <br />!��/�l(�'(/�9'�— d� T.��� <br />NO. I TYPE OF FI%TURE OR ITEM <br />Toilet <br />BaIhWL• <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwashcr <br />Clothes washcr <br />Laundry lray <br />Sink (serviceibar/mop/�lc.) <br />Backllow pmvenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease irap <br />Roof drains <br />Olher <br />A�DRESS <br />' - ZG� - 7/3 -/o�( <br />CITV2IP PHONE <br />— HEAT SOURCE I CONTRACT PRICE OF WORK <br />�Iectric _ Gas _ Other <br />�GLv � ���CL,G <br />NO. � TYPE OF FIXTURE OR ITEM <br />AIC — air handling units <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Cblhes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodslove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br />I hereby ceritify that I have re � nd examined this application and know the same to be We and correcL All provisions of laws and <br />ordinaces goveming this 4f work will be complied �vith whether specified herein or nol The granling of a permit does not presume <br />to give aulhority lo vio cancel the provision of any olher state or local law regulating conslruction or the pedormance o( <br />conslruclion. Tha '-ed by Ihe owner of lhis property to pedorm the work (or which application is made and I wmpiy with the <br />Slale Cont 27 RCW an OOC�.� WAC. G <br />/ \� 7�/ S <br />