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SITE ADDRESS <br />/Z �(27 / % � <br />DESC <br />t =RM1�' APPLICATI N <br />CITY OF �VERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8657 - www.everettwa.orc� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />P�.RCEL TAX I.D. fl PERMIT # <br />af �/c96�7%QG�OOf%�Od C�� C� 1-/% <br />BLbCK l'RACT OR SUBD�VISION q <br />�',Ty � r���- �,�,L�� <br />TENANTIJAME <br />i/y' J✓rJ � LLC'.. <br />CONTR.LICFNSEN ���,��Nc�%3dc7K <br />USE QF BUILDII�G <br />�jNGL:� r/'N'vL� a�t� iJt�C r <br />WOP,K DESCRIPTION ��Ci�f�. <br />NO. <br />��CC. 3�% <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Shov✓er <br />Kilchen sink & disposal <br />Dishv+asher <br />Cloihes washer <br />Water healer <br />Sink (servicelbadmop/etc.) <br />Back9ow prevenler <br />Urinal <br />Drinking Founlain <br />Floor dram <br />Grease Irap <br />Roof drains <br />Otlier <br />�O Fi'J.0 � %GC7 <br />CONTACT FOR PEftMIT <br />�o8t.j7 D✓/./,er,.✓Sc..� <br />,r ZiZG <br />(, y�//�/�Jlov/GjY�yG �Jzf-7v5 —S'f3'j <br />PHONE ZOG 6 S i%"3 <br />E-M1AIL /Jr:f`�✓hhrut (� R7KQi �• � <br />CITYIZIP PHONE —6� <br />t�rTlt�t�/lB�y! �o� �65 - 1903 <br />HEAT SOURCE I CONTRACT PRICE OF WORK �� <br />� E-lecinc �Gas _ Olher I �7D'7_tJ. [�7� I <br />> <br />i <br />NO. <br />ANICAL <br />TYPE OF FIXTURE OR ITEM <br />HIC — air handliny units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas (iieplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unil heater <br />Boiler <br />Re(rigeration <br />Woodslove <br />CITY OF EVERETT f,OCAL SALES TAX CODE IS 3105 <br />I hereby certi(y Ihat I have read and examined this application and know the same lo be true and correcL All provisions o( laws and <br />ordinances governing Ihis type of work will be complied with whefher specified herein or no�. The granting o( a permil does nol presume <br />�o give aulhoriry lo violale or cancel the provision ol any other ,tate or local law regulaling construciion or the performance ot <br />constr clion. T iat I m authorized by lhe owner of lhis property to peAorm the work for which application is made and I comply with the <br />Stale on ac r w <J RCW and 29�200 WAC. <br />,�---- - --- 2 L � � U i <br />Signalyie of Ocmer/Conbactor/�ulhon-�ed Ayent Date � <br />------ - �— ---- ---- �. __I <br />� <br />