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SITE ADDRESS <br />� I � I <br />LECA LOT N0. <br />nrsc. , �; <br />PERMIT APPLICATION <br />CITY OF EVERFTT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT. WA 90201 <br />425-2G7-8810 - FAX 425-257-8857 - www everettwa.org <br />APPLICATIONS ARE A�CEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D.1 <br />�� ���. i� �.� , r'� �C� �� <br />BLOCK TRACT OA SUBCIIVISION / / <br />(�1 . �I. . , i, r ' i � . ` <br />pEFMR 11 � <br />. . <br />i . � L � ��A <br />\ <br />1�.,,���i, ������ (��rc�% <br />� � � � . '1�' �. i�� I,k , � C �..r'�i��(�tUi l��' Jij i2tJ <br />" r`.�,�•.'�-. �1��/ ' , ! t'n���. N. <br />TENANT NAME � CONTACT FOR PEflM1T PHONE �� i j'� � i-� u� J�J'L <br />�i';�•��i1S � i� 1L"C� E-MOIL . �,� ,I -. r �rr 1�At� <br />-�Zib 1 i. r�, � i..�, �', �!� � � <br />� <br />. „�i ( �ri��..�i . <br />''� . - .reu IJ � {• , , <br />COMR.LICENSE/ �'.� � � .L �i_'i.•rt, i. � �'> �. � 1 _ <br />USE OF BUILUING <br />�,.r�: i��,,�, �� <br />i �I <br />—J :��� i6.i7'+ <br />WORK DESCRIPTION <br />�, � ,, � � . , <br />�.,�i"i��' ����. , <br />i <br />t10. TVPE OF !IYIURF O� ITF.ht <br />1 uilal --.� . _.. <br />f3atMub <br />�� Lav.11oiy �w;asl� bbsu�) <br />4 � Sliower <br />I:i�chen sink 8 dis�x�ti_�i <br />Ch> I iwashar <br />Clolhes washer <br />°� Wafor healBr <br />Sinl� (servicalbaNmop�c,i�.� <br />' Back�low preveniei <br />Urinel <br />Drinking Founlaii� <br />Floor draln <br />Grease irap <br />Rool drains <br />Othor ---- <br />HEAT SOURCE <br />Fior.lric Gas Othor <br />� , ' , <br />NO. � <br />�� <br />1 <br />1 <br />4 <br />CONTRACT PRICE OF WORK <br />TYPE OF FlXT4RE OR ITEM <br />A/C - aii hardling unils <br />Forcod au systems <br />Gas pfping <br />l^!a�cr Itaaler <br />Gr3� Iveplace <br />Gas ranee <br />Clolhas dryer <br />Range hood <br />Exhaust fan <br />Heal �ximp <br />Unit hoaler <br />�oiler <br />Retrigeration <br />Woodstove <br />Other _ <br />� Cf f V OF EVEHE7T LOCAL SALFS TA% CODE 19 3 t09 <br />� — <br />� I I�i�re6y ceritlty Ihat I have read erm examined this epplicatlon and krww lhe seme to be true and correcL NI ixovisions ol laws end <br />, o�Ainar,es govornirg Ihis �ype ol woik wlli bt. r,omplied wi�h whelher s�wclfiod herein or not. The granting of a permit does nol presume <br />' tr� give gulhurity lo violate or cancel tlie provision ol any ol!ier state or locel 12w regulatine construction or lhe perlormance ol <br />coiKtridGon. That I em authorizod by ihe owner of this property to perlorm the vrork for which applicatlon is made and I comply with the <br />'��tate Coniraclors lew 18.27 RCW and 2962(1(1 WAG. <br />� � '. - _ �li, -- -- i;� �� <br />�I� <br />