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SITE ADDRESS <br />� ��i <br />LEGAL LOT NO. <br />DESC. <br />�-- _ <br />�N 11 � <br />TENANT NAME <br />Pl.r�IV�IT APPLICATIG _ J <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 />PARCEL TAX I.D. N <br />�<< � <br />BLOCK TRA1CT OR SUBDIVISION N <br />tT �r.�n <br />ADDRESS <br />L �_`J i� % _—�`�_ <br />ICONTACTFORPERM <br />nl.�.�,/.;�..�� U� �,.. <br />CONTR. LICENSE M ., <br />—_. _. _ _ . _..__— � _`�!_ ��� �. _. <br />USE OF BUILDING <br />'�>� 1� <br />WORK DESCRIP710N <br />� � C�i � h �; r'� <br />- -- ----- PIUMBING <br />NO. I TYPE OF Fl%TUR[ OR ITF.M <br />_ _—_ I��d„�. . . . <br />... .. H�dh1uL <br />-- L:rv,itoiy (wnsh basin) <br />. �-- ShuwRr <br />Kl�rh�•n tiin6 8 dispoti;d <br />-- Dishwashai <br />Clulh��s washer <br />-�-- Walor ho;�l�r <br />�-� �� Sink (scrvir.elb0dmup/ulc.) <br />ilackllow preven��v <br />Urin�l <br />Drinking F�mnlain <br />� Fluur Jrain <br />Grcaso Iratp <br />Ruul drains <br />Olhar <br />HEAT SOl'RCE <br />_ Eluciric _, . Gas . _. _ Olh�tr <br />PERMIT M <br />z.r��• <br />�'' r �'��� <br />ri�oN� y,:lY x'4 8- 98rsI <br />CONTRACT PRICE OF WORK <br />— — <br />MECHANICAL <br />NO. TVPE OF FI%TURE OR ITEM <br />A�C .nr h,�ndliny unils <br />_ _ Fora:d ai� s�slrms <br />-- Gas piping <br />Waler hea�er <br />_ CiHS �IfC�)I3CP, <br />—_ Gasranqc <br />_. Clothr:sdryor <br />Rangci haoA <br />_�_ Erhaustlan <br />___ Heat pump <br />Unil heatcr <br />Boller <br />__ Rofrigeraliun <br />Wuodslove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />I hereby r.erllily thal I h�ve road end examined Ihis application anA know the same lo be true end correcl. All provislons of lews end <br />ordlnaces povemin9 lhis lype ol work will he compli�d wllh whelher spocillod horeln or nol. �fhe granting ol a permil doas nol presume <br />to give authorily to violale or canr,el the provision of any o�liAr slate cr local law �e9ulaling r;onstruclion or �he poAoimance ol <br />co�struclion. That I am aulhoriteA by Ihe ownor ol this property �o peAorm Ihe work lor whlch applicalion Is mede and I comply with Ihe <br />Sta�e Conlraclors l�w 1N.'l7 RCW and 29fi 200 WAC. <br />�. l • <br />