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SITE ADDRESS Y� <br />� //l ! <br />LEGAL LOTNO. <br />UESC. J <br />,��i, -� % � �� <br />TENANT Nl.M" <br />CONTR. LICENSE k <br />PtRMIT APPLICATI(�N <br />CITY OF EVFRETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-9810 - FAX 425-257-8857 - www.everettwa.org <br />APF'LICATIONS PRE ACCEPTED FROM 8 AM TO 4 PM <br />/'��./� �% <br />BLCCK <br />PARCEL TAX I.D. # <br />TRACT OR SUADIVISION p <br />CONTACTFOR <br />-----�rjyr€s� <br />p <br />0 <br />PHONE <br />_ �� � 3y 3 �/,si <br />PHONE <br />E MAIL <br />Y/ P —FAb?T€— <br />USE OF BU�L�ING HEAT SOURCE I CONTRACT PRICE OF WORK <br />/ . � � _ Eleclric ___ Gas ___ Olher <br />- �- �-!��- - — — <br />WORK DESCRIPTION , \ <br />� I � \ <br />� ��� �/�;� i=,� �:i%�;� �T/���/��/�F ��jllc'K l�- -��,�J <br />NO. <br />PLUMBING <br />TYP[ OF FI%TUR[ OR I1EM <br />—� Toilet -�------ ---. . <br />5alhlul� <br />Lavatory (wash basin) <br />-- Shower <br />Kilr.hen sink 8 disposail <br />Dishwasher <br />C�O�hCS Weti�1Cf <br />Waler henler <br />Sinh (aurvlce�bar/mop'etc ) <br />_ O:ickflowprev�ntfu <br />Urinal <br />Drinkiny founinin <br />Floor drain <br />Groase tra,� <br />Rool drains <br />Othcr <br />MECFiANICAL <br />NO. I TVPE OF FIXTURE OR ITEM <br />__ �TC - air handlin;7 units <br />_ Purced air syslems <br />_ Gas pipinc� <br />Walcn c�al�r <br />Gas lirc��lace <br />Gas rango <br />Clothes drycr <br />Rangehood <br />Exhausl tan ;����� <br />-- Healpump <br />_ Unit heatcr �,`� ' `J� <br />Boiler <br />Refrigeration <br />Woodstove <br />Olner <br />— -I - <br />CIl Y Of EVERF.TT LOCAL SALES TIUf CODE IS 7105 <br />I hereby cerilify Ihal I have read and examined this applicalion and know Ihe same lo be irue and wrrecL All provioions of laws a�d <br />ordinaces governing Ihis �ype ol work will be complied with whelher spocilied herein or noL The granling o( a permit does nol presumo <br />lu give aulhority lo violato or cancel tho provision o( any olhr.r stale or local law regula�ing construclion or ihe pedormance ol <br />r.onelruc!ion. That I am autho�ized by the owner ol lhis property �� porfonn lho work for which apphcation is made and I comply with the <br />Slate.�onlraclors l.aw 18.27 RCW ,�nd'19�i200 WAC. <br />J / > <br />J i _ 1L I ,..�1. ,�L�� %i���/�C/• <br />