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�s_ <br />LOT NO <br />,��d <br />TENANTNAME <br />CONTR. LICENSE # <br />P�ERMIT 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 />PARCEL TAX I.D. # <br />2/S+ S�%� f oOS�S'.�/o//b�7� <br />USE OF BUILDING <br />BLOCK I TRACT <br />� ✓��r c�f � 50 .� �/ s'�Sf, ��/ <br />n CONTACT FOR PERMIT /J <br />VO �i��^' ' l ,/%U � .\�C�,�Cs <br />✓�.l�G� t%af"f �C,ADDRESS CITY2IP <br />% /� d�/l%r.Z p��.J%U �yiru>c� <br />HcATSOURCE <br />_ Eleclric � Gas _ Other <br />WORK DESCRIPTION <br />�o y ,�z� � /�a T �q �e� fs n � .�v,.-�- <br />�o� ✓eif �isod � �/�,�� :,5 Sto �/z i H`� <br />Np, I TYPB OF FIXTURE OR ITEM <br />Toilet <br />BalhWb <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothos washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Backflow provenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Olher <br />3 �ag -o� I <br />PERMIT # <br />j'vl �� 3 s 5 <br />PHONE /y2�> <br />� � <br />��'f Ss2vi�s�-�.�� <br />PHONE <br />PHONE <br />' ��/ZSJ7y.S-.SS77 <br />CONTRACT PRICE OF WORK <br />e /«f tv �9S <br />G-sS ,Sfv �_ <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />�Gas piping <br />Water heater <br />� Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unil heater <br />Boiler <br />Refrigeralion <br />_ Woadstove <br />_ Gther <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and ezami d this appiication and know tfie same to be true and correct. All provisions of laws and <br />ordinaces governing this typ�f work wil complied wilh whother �pecified herein or not. The granting of a permit does not presume <br />to give aulhorily to violatoyccancell provision of any other state or local iaw regulaUng consWcUon or the pedormance of <br />conslruction. That I arf au rizo y the owner o( this property to perform the work tor which applicaticn is made and I com�ly wilh the <br />Stale Coplractorstaw:t .2�f2L`W and 296.200 WAC. <br />