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SITE ADDRESS <br />�. r/• /7 <br />EGAL LOT NO, <br />UESC. <br />PtRMIT APPLICATIVnI <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVERETT, WF, 98201 <br />425-257-8810 - FAX 425-257-8857 - www everettwa.org <br />APPLICAT!ONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. k <br />TRAI.T OR SUBOIVISION k <br />PERMI 1t I <br />�;� 0 3 �-3 � <br />)o r <br />l�vj �-1 ��Y�(�.rl�f ,' C� �i i �. �7� r�L_-["�_`i �.7 DLt%i `l�%JS� I� <br />� �� (�c ' / <br />TENANTNAME CONTACTFOR PFRMIT PHONE <br />; ��� �-'-�%.. E�MAIL _ <br />��riTiiAZTaR ---- - A6�€�� ------ � � <br />/ �i :! r' ��S'�,i: c �?,_ �.�, <br />! , . ., , . -, tJ/� � %�'. -'G. <br />CONTR. LICENSE p I <br />USE OF BUILDING <br />__ , <br />/l . ,,� .,,. <br />VYORK DESCRIPTION <br />�1:�, �, r t ��, , <br />___�__.__ _..—___ -- —._. <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />_ IJnrin: x_ Gas .._. Othe� �!] ��- �------- <br />: r��, � , �. <br />PLUMBING <br />NO I iYPE OF fl%TURE OR Ii�M11 <br />_. _Toilr� ------- � - <br />Balhlub <br />Lavalory (wash basinl <br />Shower <br />Kilchon slnk 8 dis�sal <br />Dishwasher <br />Clolhes washr,r <br />Waler hoa�er <br />Sink �servicelbarlmop/olc.) <br />BncMllnw prevenlar <br />Urinal <br />DrinAing Fountain <br />Floor Arain <br />Grease Irap <br />Rool drains <br />Olhr.r--_---.-- — <br />��, r,1�,�,., <br />NO. <br />MECHANICAL <br />I TYPE OF Fl%TURE OR ITEM <br />� _— <br />� n C- au handtin� unds --.. <br />Fnrced au syslems <br />Gas piping <br />W nter healer <br />Gas fireplace <br />Gas ranga <br />Clolhes dryer <br />RangA hood <br />Exhauslfan <br />Hea� pump <br />Unit healer <br />Boiler <br />Ro(rigeration <br />Woodstove <br />Olher __ <br />CITY OF EVERETT LOCAL SALES TAI( CODE 19 9105 <br />i hereby cerilily Ihat 1 have read an0 examined lhis �pplicaliun and know U�e same to be true and correcl A�I provislons of laws and <br />��nlinacos �o+eming lhis type of work will be complied wilh whelher specified herein or nol. The granting ol a permil does nol presume <br />h.i givn aulhoriry lo oiolale or r,ancel the provision of any olher slale or Incal law re9ula�ing conslruction ur tha pertormance ol <br />��unslruction. Thal I am aulhorized by Ihe oH'ner ol this property �o perinrm the work lor which applicalion is made and I comply wilh the <br />Stab� Cnnlraclors law 18.�7 RCW end 296 200 WAC, <br />-- —.7 <br />i��,�.- ".-%_ � �'�U �.��. <br />,�� 7 i t - ./- i <br />`;i��nature ol OwnerlConlraGor��u�horited Agenl Date <br />