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� <br />71 �� <br />SITE ADDRESS <br />� �"'7f� S%1 <br />LEGl,T LOT NO. <br />TENANTNAME <br />G'//1��0� j <br />CONTRACTpR <br />CUNTR. LICENSE # <br />USE OF BUILDING <br />P'CRMIT APPL.lCATIUN <br />CITY OF EVERETT PERI4�IT SERVIC�S <br />3200 CEaAR STREET, EVERE'iT, WA 99201 <br />425-257-8810 — FAX 425-257-8857 — w�,n«.u.everettwo.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />OG'jwy't3����1 IC�! �O <br />TRACT //.� �i /V% G� <br />CONTACT POR <br />T / //C�T/. <br />ADDRESS <br />HEAT SOURCE /� J <br />,� <br />_ Electric _ Gas <br />CITYIZIP <br />WORK DESCRIPTICIV �/,�� L/�'S C-[T/�U/G%��GO LP� /l/V <br />-��i's?i'iZ�� rvlD/l�O� � . ,��/l�r� ���� <br />S� m/I/ l� J-.� � ��i�k��� �G%�%:7�V(� l�l/ <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />BathWb <br />Lavalory (wash ba,in) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Laundry tray <br />8ink (service,'bar/mop/elc.) <br />Back9ow preventer <br />Urinal <br />Dr?�iking Fountain <br />�Ioor drain <br />Grease trap <br />Roof drains <br />Other __ <br />OS-O/S. <br />PHG4E <br />CONTRACT PRICE OF iNORK <br />�� OD� <br />�/��'S' ��/ <br />,� � <br />NO. � 1YPE OF FIXTURE OR ITEM <br />A/C-a�: handliny units <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust tan <br />Heat pump <br />Unit heater <br />Boiler <br />Re(rigeration <br />Woadstove <br />CI?Y OF EVERETT LOCAL SALES TAX CODE �5 3705 <br />I hereby cerilify Ihal I have read and examined lhis applicalion and know the same lo be hue and correct. All provisions of laws and <br />ordinaces governing fliis lype of work will be complied wilh whether specified herein or not. The granting of a permit does not presume <br />to give aul��t�- "� � �te orovision o( any other state orlocal law regulating construclion or lhe performance of <br />conahG"ctio� h• uthonzPd h;��r of this prope�ly to pedorm the work forwhich application is made and I compiywilh the <br />� <br />