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SITE ADDRESS <br />LOT Nn. <br />� <br />PERMIT APPLICATION <br />CITY OF EVERETT PEftMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-�857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO A PM / <br />PARCEL TAX I.D. M <br />PL . SuJ. o0 3 4 ooc� 6od <br />BLOCK TRACT <br />PLAT of �! ��/� Lb P�4ZG <br />�n3-�� r 3 <br />P,or3crz.r LF�-'- /09 3 3 �/86 �i. ST •,e�NToi./ <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />CONTRACTOR <br />CONTR. LICENSE N <br />USE OF BUILDING <br />��. <br />v��� <br />C-� <br />s��Qi-/a� L-EY�A 2S3 -��" 3'l0 �/S <br />ADDRESS CITYIZIP PHONE <br />HEAT SOURCE <br />_ Electric � Gas __ Olhor <br />CONTRACT PRICE OP WORK <br />/ `�.�, /� � <br />WORKUESCRIPTION c;-0Jt/uTjL(>GT/O�CI O/= 77-(Jd SF,e• CETAGNc=!> �4Np �;AC/� <br />v�r� r w,T,� o,�J� �2 C�A246 E,47'T�i�Ne�f> <br />____���s1I��-- <br />PLUMBING <br />HO. I TYPE OF FIXTURE OR ITEM <br />Toilot <br />BathWb <br />Lavatery (wash basin) <br />Showei <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washar <br />Water heater <br />Sink (servico/badmop�etc.) <br />NackOow prevanlr,r <br />Urinal <br />Drinkinc� Founinin <br />Floor drain <br />Groasc Irap <br />Roul d�ains <br />Other <br />NO. I T'PE OF FIXTURE OR ITFA1 <br />A/C - air handling unils <br />Forced air systems <br />Gas piping <br />Walcr hoaler <br />Gas lireplace <br />Gas range <br />Clolhes dryor <br />Ranc�e hood <br />Ezhaust lan <br />Heat pump <br />Unit heater <br />8oiler <br />Rolriyeration <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />I hereby r,eribfy that I have read anA examined Ihis applic�tion and know Ihe same to be Irue and correct. All provisions o( laws and <br />ordinaces �overning Ihis rypo of work will be complied with whether specilied herein or ncL The granling ol a permit does nol presume <br />to ,yive aulhorily to violale or cancel Ihe provision of any olher slate or local law rogulaling conslruction or ihe periormance of <br />construction. Thal I am aulhurized by !he uwnor of this property lo peAorm Ihe work lor which epplication Is made end I comply wilh Ihe <br />Stale ontrar.!nrs Law 1A27 RCW and 296.200 WAC. <br />� -r � `''I � ��I�' � — <br />s.u�� e t�fi'it.% <br />��Z <br />