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SITE ADDRESS <br />���� � <br />LEGAL LOT N0. <br />DESC. I 7 <br />TENANTNAME <br />PERMIT AP�LiCATION <br />CITY OF EVERETT PERMIT SERVI� <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettw< <br />c��U�-�z <br />q iU i� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ` <br />`I$TD� PARCEL TAX I.D. i� PERMIT # <br />S.E. C�e.-� ol oh 9� oa oo � Z�o �' >�� <br />BLOCK TRACTORSUBDIVISION# aF.N.�L�7�3z�/sZU� <br />69tQ SouTtf �.A�c �SThTES _._.._FF ��.,.i� i-i�s�. <br />CONTRACTOR <br />PAGIFIC �'EI6.NT5 <br />CONTR. LICENSE # ,) ^ :._ ^ ` <br />USE OF BUILDING <br />SI <br />�Aw�i�y �j�c2 <br />St. �'veved NMtI <br />S{'e 3S7I, �'urr�tf ,�lk 9PZa8 <br />CONTACT FOR PERMIT <br />�bOv . �.,i V���a�2✓ <br />PHONE ���5• 530. O7S'�J <br />� �. n ii . 1 ASON .�`. � I N iG'/l'iL� ( <br />...�: <br />ISS ui nur �••�••. <br />l��o Sr Et�YLtf fMaQ uk� �ft.3sv, ��a�'e�f, <br />� ' �/1S, 530. a78 <br />HEATSOURCE <br />_ Electric � Gas _ Other <br />CONTRACT PRICE OF WORK <br />WORK OESCRIPTION CC71��S�GIG'�'� � a �� �`�� LI ������ <br />NO. I TYPE OF fIXTURE OR ITEM <br />e�i <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Wafer heater <br />Sink (service/bar/mop/elc.) <br />Backflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />ryp, I TYPE OP FIXTURE OR ITEM <br />A/C — air handling units <br />; Forced air systems <br />� Cias piping <br />�_ Waler heater <br />/ Gas fireplace <br />Gasrange <br />( Clolhes dryer <br />� Range hood <br />� Exhaust (an <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other _ <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />I hereby certify that I have read and examined this applicafion and know �he same to be lrue and correct. All provisions of Iaws and <br />ordinances governing Ihis lype of work will be complied with whether specified herein or not. The granting of a permil does nol presume <br />lo give authority to violate or cancel the provision of any olher s�ate or local law regulaling cunsfruction or the performance o( <br />conslruc That I am aut nz d by ti��e owner of tliis pwperty to perform lhe work for which applicalion is made and I comply wilh the <br />State ontr ors Law 18 7 RC and 296 _Z00 WAC. ^` / <br />