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LOT NO. <br />DESC. <br />7N <br />I� cRMIT APPLICATIvN <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 E AM TO 4 PM <br />.��. <br />PARCEL TAX I.D. �i <br />BLOCK � TRACT OR SUBDIVISION # <br />�v <br />TENANT NAME . <br />So u7f{�/�S � �/u���,�� <br />r e .r <br />CONTACT FOR PERMIT <br />��ol 5.�. � <br />a-----I 7 --! l7 <br />PERMIT # <br />�i a�a- ��- <br />�(/f.��� <br />PHONE �CJb—� <br />E•MAIL <br />C9NiR. LICENSE p <br />� C'�' # �ac�TiiUJ�o7/G <br />USE OF BUILDING � HEAT SOURCE I CONTRACT PRICE OF WORK <br />Eleclric Gas Uther <br />WORK DESCRIPTION <br />� �= 1�L t3-� L�-�-r� "I�i2 S'�u� % ��rl /�i7�"�'' � /�i�.�� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />6alhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clo�hes washer �. <br />� Water heater G-1"i ��ivS�U.�� j,4-N f; <br />Sink (service/bar/mop/e�c.) <br />Backflow prevenler <br />lhinal <br />Drinking Founlain � <br />Floor drain <br />Grease �rap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Foroed air syslems <br />Gas piping <br />Wa�er heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify �hat I have read and examined this applicalion and know lhe same �o be true and correct. All provisions of laws and <br />ordmances governing ihis lype oi work will be complied with whelher specified herein or not. The granting of a permit does not presume <br />to give authority �o violale or cancel lhe provision of any olher state or local law regulating cons�ruction or the pertormance ot <br />construction Thal I am aulhoriz by the owner of this property to periorm �he work for which application is made and I compiy wi�h �he <br />St,a� n �ctors Law 18 W d 2 .200 WAC. <br />�// '/r �-i,l_i/ ����/�%r� /�/% •��/ %l d <br />