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SITE ADDRESS <br />,,,, .i;., �; <br />LEGA LOTNO. <br />DfSC. I <br />PERMIT APPLICATION <br />CITY OF EVERETT PERIIAIT SER�'ICES <br />3200 CEDAR STREET, FVERETf, WA 98201 <br />425-257-8&10 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS AFlE ACCEPTED FROM 8 AM TO 4 PM �` � Z�� I <br />PAHCEL TAX I.O. p P MR x <br />. �] <br />i� � (�f.'1 . �, . ` ��.�� �L��-���C�'L-��- <br />BIOCN TRACT OR SUBDIVISION f <br />ll , . �� . �.r r �. t�l�.�_ � �� .,� � ��� . ���tvl ��C�'cil �'. <br />',�, ���it C. f'a��i,�w�,� I�,i• `11 C�,.��+�15^���� t�i. 11?7•t.— <br />TENANT NAME I CONTACT fOH PERMR PHONE �!; 7`.. =, i0 ���' . <br />�� .��,�t ��r�r�c�'E✓ e-Ma� ,,,.,t.,�� � � ='�'�- <br />� 1 �. � �.. 1'. t . �. . . <br />�; r �. � 1l �.f� �il.. .., <br />�. . l. � . <br />CONTR. IICENSE N <br />1 ,�• . �� � -(' �, , <br />USE OF BUILDING <br />� � �� t: n,, � I <br />I HEATSOURCE <br />��r�.,�IL-�� .. <br />f_leclric Gas __ Othe� <br />WORN DESCRIPTION <br />� . . '� i', i�, , , - , -� <br />� �. <br />110. I TYPE OF Fl%TURF OFl 17EM <br />Toilc�t <br />Balnlun <br />Lavalory (wash basin) <br />Shower <br />�:ilchen sink 8 dispos:�i <br />Dishwasher <br />Clolhes washer <br />Watar heater <br />Sink (sorvlca/barhnn� ���,1.�.1 <br />Bachllow preventn: <br />Urinal <br />Drinking Pount; ii� <br />Floor drein <br />urease Ira, <br />R�of drain; <br />Olher _ _ <br />. . , l . , � � '�, � �� ' <br />CONTRACT PRICE OF N'OHK <br />NO � TYPE OP FlTTURE OR ITEM <br />� WC - eir handlirg unils <br />� Forced air systams <br />�!� Ges piping <br />'" � . Watar hoaler <br />I Gas hieplace <br />Gas rango <br />� Clothes dryer <br />� RanBe hood <br />y Exhaustfen <br />Hoal pump <br />Unit healer <br />Boiler <br />Relriyeralion <br />WoalSfove <br />O�her <br />CITY OF EVERETT LOCAL 9ALES TA7( CODE IS 3105 <br />� I hcveby ceritily Uiat I have read and ea2mined Ihis epplicalion and kiww t7ie seme to be irue and correcl. A�I provisions ol laws and <br />ordinaces govorninp Ihis �ypa of work wiil be compliad with wlielher speciliod herein or not. The granli� ol a permit does not presume <br />�u yivo outhurity lo violate or canr.el Ihe provision el eny olher stete or local lew regulating conslruction or lhe performance ol <br />conslrur.lion. That I em authorizod by Ihe owr�r ol tlns pmperty to pedorm the work lor which application is made and I comply with the <br />S�ale Coniradors Law 1827 RCW and 296.200 V+�'AC. <br />i <br />,� � _ � � � � � � � ,_� <br />�gnaNra o ed onlraclor ul onze denl ,���— '/ <br />� <br />