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SITE ADDRESS <br />' �L' /Z; <br />LEGA LOT NO. <br />DESC. <br />L cDR�C' <br />TENANTNAME <br />P�RMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everetlwa.org <br />APPLICATIONS ARE ACCEPTEO FROM B A!A TO 4 PM <br />PARCEL TAX I.D. 0 <br />7 <br />�� S C=--E ?.�o53voo4o3S�� <br />BLOCK TRACT <br />,�� <br />�✓ o,c,� f+`3�Z � � Sr .S� <br />CONTACT FOR PERMIT <br />� <br />�/LG �n' /�'� <br />CONTRACTOR`'GDP.0 �/'« /i✓✓ ( n�C't� <br />CONTR. LICENSE p � <br />LEv�,c.��� y<-E PC <br />USE OF BUILDING <br />S�NC,t f F ••„ LY <br />WORK DESCRIPTION <br />�.��-/ S : �' dc^!- <br />��LSj•/,C % D T <br />:L�a <br />ADDRE$6 <br />{� = �7 L�'S.— � t <br />//J - (s - ''-) <br />HEATSOURCE <br />SIl - c�o <br />S/ / — <br />PHONE <br />CITY2IP PMONE <br />E�f1'6T.-, ��l?oS �q S)�/z z �' n �n <br />_ Electric �, Gas _ Olher <br />CONTRACT PRICE OF WORK <br />/�U� Ooo <br />��/6 ..J .�iN!'rL� FA�r i c y ST.l�d�'i dtiE oN 6X iS : iNG <br />TYPE OF FIXTURE OR ITEM <br />Tailel <br />Balhtub <br />Lavalory (wash basin) ' <br />Showor � <br />Kitchon sink 8 disposal <br />Oishwasher <br />Clolhes washer <br />Laundry Iray <br />Slnk (service/badmopletc.) <br />Backllow prevonler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greaso trap <br />Rool drains <br />O�her <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced alr systems <br />Gas piping / <br />Water healer <br />Gas fireplace / <br />Gas range <br />Clathos dryer <br />Range hood <br />E>haustlan /�/i <br />Heat pump <br />Unit heater <br />BallOr <br />Refrigerallon <br />WOOCS�OVB <br />OlhBf <br />CITY OF EVERETT LOCAL SALES TA7( CODE IS 3105 <br />I hereby ceritify thal I have road and examined Ihis application and know the same lo be Irue and cortoct. All provlslons ol laws and <br />ordinaces poverning Ihfs lypo of work will bo complied with whelher specitied heroin or not The grenling ol a pertnil does not presume <br />to givo authorily to violato or cancel tho provislon of any othor stale or local law rogu�aling conslniclion or ihe periortnance of <br />conslructlon. That I am authorized hy lho owner ol this propeAy to per(orm the work tor which applicatlon Is made and I comply with the <br />State Contrattors Law 78.27 RCW-e�d 29G.200 WAC. ,/ <br />a� <br />� �r' -- -, 2 <br />�� ��a�r"� <br />