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uziisizuur io:ta ��ai �zs zs7 axs7 HVh:KEI'1' NEW117' S�KVICES____��_�� <br />StTE ADD��E35 <br />DESC. <br />li(ali'�, ��1`/7��'._ <br />TENANTNAME <br />CONTRACTOR �,���� CL>� <br />CONTR. UCENSE N� <br />/. �l /�� <br />USE OF BUIL[]ING <br />P�RMIT A-PPUC�►TION <br />CITY OF EVERETP PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-88� 0— FAX 425-257�857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />pARCEL TAX I.D. �I <br />BLOCK � TRACT <br />GONTAC'f FOR PERNfT <br />PHONE <br /># i �I � <br />7.� _ , <br />� E'��inr� ien�t5ori y�-�-.-,y-� .., �, , <br />. � ADDRESS CITYRIP P�,o►,e y�� - �4 � <br />� �(4N ��o�arf�u�'� C,rGt1)��t�F�<<(IS q7y7 <br />� �5� �i��5� <br />WORKDESCRIPTION (jQ'� �{(� (a�S` <br />) `J <br />NO. � hYE OF fIXTURE OR ITEM <br />____, Toilet <br />Bathtub <br />,' Lavatory (wash basin) <br />Shower <br />KLhen sink 8 disposal <br />� Dishwashor <br />� Cbthes washor <br />� Waterheoter <br />� Sink (seriiailbadmopletc.) <br />Backflow preventer <br />� Urinal <br />Drinking Fountain <br />! Ftoor drain <br />Grease trap <br />Roo( dralns <br />-- Other <br />HEATSOURCE <br />CONTRACT PRICE aF wuKrt <br />_ Eledric 1 Gas _ Other I � 5��b -� <br />a�-�5� ou�E, r,�plae�n�. old ��J�e��7 <br />NO. I TYPE OF FU('fi1RE OR REM <br />A/C - air handling urtits <br />Foroed alr syslems <br />Gas plping <br />Water bealor <br />Gas flrep�aw <br />Gas rergo <br />Cbthes dryer <br />Range hood <br />Exhaustfan <br />Hontpump <br />Unit heater <br />Bofler <br />Refrigeratbn <br />Woodstova <br />Other <br />CITY OF EVERETf LOCfLL.S/LLES TA%CODE IS 3105 <br />I hereby ceritify that I havo read and examined lhis applicalion and hrww lha same lo be lrue and cortecl• NI pr�visiona of law � a� <br />ordinacos govominp this rype of xrork will be wmplied with whether specified harein or noL Tho granUrg of a pe� ��it does nel presume <br />lo give authoiity lo violate or cancel lho provision of any olher state or bcal law regulating construction or lha pertormance o1 <br />conshuctan. That I am autYonzed by the owner of this proparty to per(orm the work tor which applicalion Is mado and I comply with ihe <br />Stalo ConlraGors Law 18.27 RCW and 296.200 WAC. <br />