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PE�iMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />4^<5 257-8810 - FAX 425-257-8857 - www everettwa org <br />/,, i APPUCATIONS ARE ACCEPTED FROM B AM T04 PM Z.ZSO <br />. -�� � <br />� (__ _ 71—__ ; <br />_ - /-------- --------- — <br />SITE AODRESS �i�-` ' PARCEL TA% I.D. p PEHMIT p i <br />'2t�'LO- 112�"� 5'T. b,�-. 005379�ao045o1 +005379�4Goc (� %ji'-�'G, I <br />l 1 i��n! LOT NO. � BLOCN <br />I rl. � __-- <br />- �� -- -----�---- <br />OVJNER <br />MAPI.F WOo� Co�R`r LlC <br />TENANTNAME <br />TRACT OR SUBOIVISION n <br />TRACTS �i5�4(o PIAT oF PA�NH F�E7-D AD�*Q <br />ADDHE55 CITViZIP PHONE <br />IQ607-'hiiP•D Ci2.S.E. µ�LLG�x, 425•357-ozBCo <br />wA. 98ai2 <br />I CONTACT FOR PERMIT PHONE <br />� E•MA1L <br />cdNfRA�TbA — — —�tbti�E� -----�iTV�Zi6-6H6N�— <br />CONTH. LICENSE p <br />USE OF BUILDING <br />SiHGt.E FAMu.Y'fa.uNNov5E5 <br />WORK DESCRIPTION <br />CG1�572UGT A SINGLE FA�1tL�{ <br />PLUMBING <br />NO. � TYPE OF FI%TURE OR ITEM <br />� _ Toilet <br />Q Oaihlub <br />�j Lava�oiy Iwa�h Uasin) <br />Showei <br />I ki�chen sink 8 dispn5al <br />I Disl�washoi <br />� Clothes washcr <br />I Waler heatei <br />Sink (sorvicmbar/moplotc. � <br />Dackllow prevenlm <br />Urinal <br />Diinking founlain <br />f luor drain <br />Grease hap <br />Runl di2uu <br />01hm <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />x �������,: �.,�._ o��,�� �a�3 a�o.� <br />------ ' — ------ <br />TowivNOu�� Ul�it Y // <br />NO. I TVPE OF FI%TUflE OH ITEM <br />I <br />T <br />4 <br />A C— air h2ndlmg unAs <br />farced au sys�ems <br />Gas pipinc� <br />6Vamr he�icr <br />C3as 6replace <br />Cas ran�o <br />Clo�hes dryer <br />Rangc hood <br />Eahausllan <br />1lmipump <br />l Init heater <br />Ooilr.r <br />9elri9crntion <br />WoOdslove <br />Olher --- �---�------�— - <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />i hereby cerildy Ihat I have read and examinod Ihis apphcalion and hnow the same lo be Irue and cnrrect All provisions ol laws and <br />,��Jinaces �ovenung Ihis lype ol worh will bo wmplied wilh whelher specilied heieim m �ot. The granting ol a permit does nol pre,ume <br />�.��: �pve autho�ily to violale or cnncel Ihe provlsion ol any olhm stale or local law regulating construction or Ihe performarce of <br />� onstmclion. That I am au0�onzed by Ihe owner of �his propmty to pedorm �he woik lor which applica6on is made and I comFly with the <br />.,ia�c Cunlraclors Law 1827 RCW and 296200 WAC. <br />/o •-//-d <br />�na�urc <br />