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SITE ADDRESS <br />i� 5 �s%�s <br />LEGAL LOT NO. <br />DESC. <br />,�� <br />TENANT <br />PEkMIT 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 />� <br />BLOCK <br />� r >'n s� �1..}�S� <br />I <br />�j//g.,��t,r ,i? �f'S �j�•-.v <br />cPINTR. LICENSE # <br />�=Yi 4/�'SsovZ K� <br />USE OF BUILDING <br />� <br />WORK DESCRIPTION <br />PARCEL TAX I.D. IF <br />TRACT OR SUBDIVISIOIS # <br />''ST�«� /_-� <br />CONTACT FOR PERMIT <br />� c� ��� /s7;t/ <br />PERMIT # <br />nr�9oY� <br />�Gj Lf 2f-Z5�-1.3�� <br />PHONE <br />�Z�-�`Y7z6' <br />--� AODk555 �[ ��� <br />.���/ �l/lid/,�G-C. <br />��, � ySzo <br />IHEAT SOURCE <br />� Eleectric _ Gas _ Olher <br />f�������'tr�" S j5 %�t.h — .' �'�`^o. <br />NO. I TYPE OF FI%TURF. OR ITEM <br />Toilel <br />BalhWb <br />Lavalury (waslt basin) <br />Shower <br />Kilchen sink 3 disposal <br />D�shwasher <br />Clolhes washer <br />Waler heater <br />Sink (service/badmop/elc.) <br />Back(low preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />NO. <br />y2 S--ZS%� - Z /,�, '� <br />CONTRACT PRICE OF WORK <br />�Q / � `� <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air syslenis <br />Gas pipiny <br />Waler healer <br />Gas fireplace <br />Gasrange <br />Clolhes dryer <br />Range hood <br />Exhaust tan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />I hereby cerili(y thal I have read and exarnir�ed this applicalion and know the same to be true and c�rrect. All provisions of laws and <br />ordinaces governing this type et work will be complied wilh whether specified herein or not. The granling of a permit does not presume <br />to give aulhority to violate or ca:icel the provision of any olher stale or local law reg�i!ating construclion or the performance ot <br />conslruction. Thal I am authorized 'uy the owner of this property to perform lhe work fe� ��'•ich application is made and I comply with lhe <br />Slale Conlractors Law 1827 RCW and 296.200 WAC. <br />�—��/i//'� � ^z�'� i <br />