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, <br />i� <br />�� <br />SITE ADDRESS <br />t <br />L[GAL LOT NO. <br />DESC. <br />OWNER <br />s �i, -�-'�r� <br />TENANTNAME <br />COVTFACTOR /�s��� <br />PEaMIT APPLICATIC�a+I <br />CITY OF EVERETT PERMIT �ERVIGES <br />3200 CEDAR STREET, EVERETT, V�'A °8201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # P�,RMIT # <br />�''� ��,/ _��y�0� c�o r�lmoo I (',�C'_ ,' /� <br />�BLOCN � TRACT <br />G <br />CONTR. LICENSE M,����� ��,D� L <br />J �.-- - <br />USE OF BUILDING { <br />WORK <br />�����1 jiC� .�..!] <br />PLUMBING <br />NO. I TVPE OF FI7ITIIRE OR ITEM <br />_� Toilol <br />� f3alhlub <br />� l�vatory (wash b�sm) <br />Shower <br />� Kllchen sink d disposnl <br />_�__ Dishwashnr <br />_ �_ Clothes washar <br />_�_ Waterheater <br />Sink (sorvicnfl�arlmop/etcJ <br />Flacktlow prevenler <br />Urinal <br />Drinklnq Founlain <br />Fbor drain <br />Greasetrap <br />Root drains <br />Olner <br />3� �' <br />�'�� �r .Si?n'/%+•� 's�, S? ft'' �J� <br />FOR PERMIT PHONE <br />A9�(t� �S �LQL� �� �IN21P PHONE � <br />l�% i /� r,�orysv��/� ��5 <br />�/J � % %� �� C�rl���� <br />HEAT SOURCE � CONTRACT PRICE OF WORK <br />_ Electric �Gas _ Othcr <br />MECHANICAL <br />TYPF OF FIXTURE OR ITEM <br />AIC - alr handling vnits <br />Forced air systorns <br />C �s plping <br />Waler healer <br />Gas firoplace <br />Gas ran{;e <br />Clolhos Aryar <br />Range hood <br />Exhausl lan <br />Heat pump <br />l7nit hea�er <br />Doilet <br />Retnperdlion <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAI SALES TAX CODE IS 7105 <br />I heroby conlify lhat I have read and examined this applicalion and know ihe same to be lnie c?d wrrecl All provlsions ol laws and <br />ordinacos governing Ihis type ol work will be complieA wdh whether specdied herein or not. The grantiny ol a permit does not presume <br />lo give aulhorily to vlol,�to o� cancel �h� provision of any olher state or local law regulaling constructlon or the peAormance of <br />consiruclion. Tha� I am au�horized t�y Ihe ownor ol lhis propeAy to perlorm the work for which applicalion is made and I comply wilh ihe <br />Stete Coi7kac�Vrs Law 1927 RCW and 2J6200 WAC. <br />1�2 <br />