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03i2sl,013 01 .' <br />e2200 P 002/002 <br />PI:RMITAPPLIGATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425.257-8810 - FAX 425-257-8857 - www.everottwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS PARCEL TAX I.D. It PERMIT N <br />/6 6.6' 9/1'Te 9Z G61 I I fk I W 3- b7 7 <br />LEQAq LOT NO. I BLOCK I TRACT OR SUBDIVISION e <br />DESC. <br />OWNER ADDRESS cITYRIP NONE <br />Tin Liq 2y,"J es— <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />E-MAIL <br />GIUK <br />Ior7 0/v,�rGr— <br />LICENSEG/JQL�`� <br />USE OF BUILDING I HEAT SOURCE CONTRACT PR.ICE OF <br />WORK <br />ee- <br />�Lo � gEleeMc _ Gas Outer <br />WORK DESCRIPTION <br />„t sib`'// We, <br />PLUMBING <br />NO. TYPE Of FIXTURE OR REM <br />MECHANICAL <br />N0, TYPE Of FORURE.OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (servicelbar/mop/etc.) <br />Beckflow preventer <br />Urinal <br />Drinking Fountain <br />Floordraln <br />Grease trap <br />Roof dralns <br />Other <br />-7 <br />_ <br />__ <br />_ _ <br />_Other <br />T <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhauslfen <br />Meat pump <br />Unit heater <br />Dollar <br />Refrigeration <br />Woodstova <br />_ <br />_ <br />_ <br />_ <br />.r <br />_ <br />_ <br />CITY OF EVERETT LOCAL SALES TAR CODE IS 3105 <br />I hereby Cedtify that I have reed and exsmined this application and know the same to be Irda and correct. All provisions of laws and <br />ordinates governing this type of work will !e complied with whether. specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provislon of any other state or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which application is made and 1 comply with the <br />Stabr Coplac La S. RCW 296,200 WAC. <br />