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SITE ADDRESS <br />�3 " �� <br />LEGA � NO. <br />oesc. i,.�: .- M x <br />PCRMIT APPLICATIUN <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 8 AM TO 1 PM <br />BLOCK � TRACT <br />PARCEL TAX I.D. p <br />6-i9-�� <br />.. <br />PERMIT M <br />, `� % �� ' :.% i <br />UWNtN nuun�aa �.�� �i��� 'S" <br />3�.e. bsz- <br />RuBE Fi-oMF�sr=Na. 1170L l�l 'iNE At. � �/�A2�,5�i//�'y 98L7/ <br />TENANT NAME CONInt 'OR PERMIT PHONE <br />ICEK EoN A a �Y S67T,E,CS 3�m-GS1• 75!/ <br />CONTRACTOR ADDRESS CITYIZIP PHONE <br />Ro,SE I�ME.�, I�rc. //70G M�4RiN6 D.��'✓E� MA�s✓.'//�� 98Z71 <br />�C NTR. LICENSE M g60� GSZ' %.S'9/ <br />USE i%.Z. '� O�%��/2 - <br />USE OF BUILDING � HEAT SOURCE � CONTRACT PRICE OF WORK <br />Eloclric ✓Gos Olher <br />WORK DESCRIPTION <br />CbN3TIGctCT:d�/ D/C �SiNfl�� i�'M%4Y ,Q[SSiDA1.NC� �P/ANC� B/Al�G ��,Z <br />NO. I TYPE OF FIXTURE'1R ITEM <br />r <br />Toilot <br />�athWb <br />Lavolory (wash basi�i) <br />Shower <br />Kilchen sink 8 dispos;d <br />Oishwasher <br />Clo�hes washor <br />Walur hoalor <br />Sink (sorvicol6admoµ�ela) <br />8nckflow prevaMer <br />Urinal <br />�rinkinp Founlain <br />Floor drain <br />Creaso tra, <br />Root drains <br />Olhor <br />NO. I TYPE OF FIXTURE OR ITEM <br />... <br />� <br />� <br />A/C - air handling unl�s <br />Forced air sy ms <br />Gas pipinc� � <br />W a�cr haalor <br />Gas liroplaco <br />Gas rango <br />Clolhos dryer <br />Ran�e hood <br />Exhauslfan <br />Hoat pump <br />Unit heator <br />Boiier <br />Rofrigoration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 77J5 <br />I hereby ceri�ily tha� I have read anA ezamina,i Ihis applicalion and know iho stmo lo be Irue and correr,t. All provlsions ol laws and <br />ordinaces c7ovemin� Ihis type o� worh will bc� compliod wiRi whelhor spociliod horoin or noL Tha granling o( a permit does not pres�me <br />to qivo aulhority to violate or cancol Ihe provislon ol any olher s�a�e or local law regulaling construclion or Ihe perlormance ol <br />cons�rur.lion. That I am authorized by tha owner of this property to poAorm the work Ix which application Is made and I wmply wilh the <br />Stato Coniraclors Law 1027 RCW and 29G.200 WAC. <br />e,�/ /o-//-e� <br />.i.o��„nG�d�,�d�od e��n� flatw <br />