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SITE ADDRESS <br />�a�lo� �� <br />LEGAL LOT NO. <br />oesc. � 2� <br />TENANT NAME <br />CONTR. LICENSE # <br />USE OF BUILDING <br />PERMlT 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 B AM TO 4 PM <br />`1620fj PARCEL TAX I.D. # <br />S.E.f�re.-N otohq�ooao�3oo <br />7 �iu --i� <br />�C.�/DUG� �l <br />PERMIT if <br />3LOCK TRACT OR SUBDIVISION # �F.N. <br />661.Q $ouTH L,4vle �sTkTPS # Zl�'7o32U 5209 <br />24 S.�. �veve�{ N1wtf �i.y �'�U �'urr�ti , Wk 9P <br />�// 7 CONTACT FOIR PERMIT 1 PHONE ��yS, S bU . O/ Y'7 <br />'" I �rOOV� 4-� V��'G�TP.✓ GMAIL J ASON .�• II N IC� w�iw <br />ADDR SS • '1, C TYIZIP P E <br />FIC i�E16�NT5 �D.V+65�UL. (�p� EI�YG'1{ V'ut�I �51L.35U� �t,¢J'2't{� q$ZA$� <br />SIVV(�L �AW�i�y ���IAc.Q.. <br />:�. . . . <br />HEATSOURCE <br />_ Eledric � Gas _ Other <br />WORK DESCRIPTION /��S,L .uG��� � a �� ('e' F'�� i �/ <br />l. TV <br />�� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Ciothes washer <br />Water healer <br />Sink (service/barhnop/etc.) <br />2ack0ow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />NO. <br />CONTRACT PRICE OF WORK <br />�.sict�� <br />IVI <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Water healer <br />Gasfireplace <br />Gasrange <br />Clolhes dryer <br />Range hood <br />Exhaust fan <br />Hea� pump <br />Uni� healer <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />I hereby certify lhat I have read and examined ihis applicalion and know the same �o be lrue and correct. All provisions o( laws and <br />ordinances governing this type of work will be complied with whelher specified herein or not. The granling o( a permit does nol presume <br />to give hority to violate or cancel lhe provision oF any olher state or local law reguiating construclion or the pertormance of <br />con ucC n. Thal I artyd0(liorized by the owner of this property to perform the work for which applicalion is made and I comply with the <br />Sta ontraclors Lac4 iE.�7 RCVY and 296.200 WAC. / � <br />v! <br />` �� <br />