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SITE ADDRESS <br />Ci � �"T1 <br />LEGAL YA'i NO. <br />DESC. �N� f dzZ <br />OWNER <br />�O s e"r -�.vr6Y <br />TENANTNAM[ <br />CONTRACTOR OJL' <br />CONTR. LICENSE p <br />USE OF BUILDING <br />s �� �'� <br />WORK DESCRIPTION <br />P�RMIT APPLICATION <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 4^M 7..� �]�-��; <br />PARCEL TAX I.D. f! PERMIT # <br />Lc�✓�•r s. � 7-�scur /Bon303�/ od Uj%O,'o �� 7 <br />BLO�� TRACT <br />�C <br />/41E�. <br />noor+ess cirr¢ir �b)n PnoHe <br />�i�o� �ofa. >�� �� , Nla,�/sr,��/,-, 3�.-Lsl-�ssi <br />IC�%O TACt� 'PERMIT �� PHONE <br />KE�✓KEC� n/o � .��T7L�f 3/�o-ts•r-7s5j <br />Nn ADDRESS ,f�}/v� CITY2IP PHONE <br />/��3 C// Z* O yZ �.J 1_ <br />HEATSOURCE <br />[loclrlc �'�Gas <br />Olhor <br />CONTRACT PRICE OF WORK <br />,/ a <br />Lc,.�srN<<rr:c-i. �+f .Si'...q/Lr f=r9M.Ci !Ql.S�DfN(L� �bittit �G:/f1 � <br />NO. I TYPt OF FU(TURE OR �TEM <br />Toilcl <br />/ Batht�ib <br />� Lavatory (wasli basin) <br />_f_ Sliowor <br />_1_ Kilchr,n sink 8 disposal <br />�_ Dichwashnr <br />� Clolhes washcr <br />� Walon c�alor <br />— 5ink (scrvicr,Narhnoplelr..) <br />�ack9ow prevr.nter <br />Urina' <br />Orinkin� Founlain <br />Floor drain <br />�Gre +sc Irap <br />Rool drains <br />� Othur <br />NO. � TYPE OF FIXTURE OR ITEM <br />_� _ <br />_ A/C — air handling units <br />,� Forced air systems <br />Gas piping <br />� V/alor hoa�or <br />Gas liropinco <br />� Gas range <br />� Cbthes dryer <br />��Range hood <br />Fxhausllan <br />— Hoat pump <br />Unit healor <br />— Bollar <br />— Rolriq�ralion <br />— Woodslovn <br />� f)thnr <br />CITY OF EVERETT LOCAL SALES 1'AI( CODE IS 7105 <br />I horeby corili�y thal I have �ead and examined this application and knuw Ihe sam� lo bo lrue and corract. All provisions ol laws and <br />ordinaces c�ovorninc� Ihis typa of work will be complied wilh whelhor specified horoin or not. The granlin� uf � permit does nol prosume <br />lo give aulhority lo violato or cancM Ihe provision of any othor slate or local law ragulaling construclion or the padormance of <br />construclion. Thal I am authorizad by tho owner ol this properl�� to perform Ihe work tor �vhich application Is made and I comply wilh the <br />Slalo Contrac(ors La�18.27 RCW and 29fi.200 WAC. <br />�1/ O <br />