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ADDRESS <br />LFGAI LOT <br />D[SC. 1 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SEFiVICES <br />3200 CEDAR STREET, EVERFl-T, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - uwvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ���'z,..�G <br />PARCEL TA% I.D. # I PERMR N <br />PL- 1,i i_ , •, L- C, 'C'� <br />BLOCK TRACT OR SUBDIVISION M ` � <br />� <br />.� f ��cir��ir\ ( rl.v� �1(�•a�l . <br />; ' _ �� � l , I, , � . � ; �, ,�,��y.;,�, ��r 1�1 zr�, <br />, ... , � , ., , <br />� � -- <br />TENAN7 NAME I CONTACT FOR PERMIR PHONE �. i, , � -• ��� f�j'i� <br />___��___' . <br />�' �^ � E-MAIL � c, � r Y,plul 'x' <br />� � i ri � . �. r'� � (�.�� " <br />�.�� 1 ,.�f.�. , � <br />V. i 1 . {� . - . . <br />COMR. LICENSE I <br />`,�'• �.,..r � �(� r: ..�r�� <br />USF OF BUILDING <br />, {; ,,, 1, <br />, <br />i.�,- tt.�r� <br />WOHK DESCRIPTION <br />�� �„r hi� 1 ! . � <br />HEATSOURCE <br />. _ Eloctnc . _ �as _ <br />� , . "��r�" �' �^':��c ���G.'� ��� <br />NO. I TVPE OF Fl%TUflE 0(i ITFM <br />Toilet <br />8athtub <br />"5� Lava!or�• �wash basin) <br />�� Shower <br />Kllchen sink R disposal <br />� Dishwashei <br />' Clolhos washer <br />� Water heater <br />Sink (servicePoadmepietc I <br />' Backllow prevente� <br />Urinnl <br />Drinking Founlnin <br />Flooi drttin <br />Grease Irap <br />Roof drains <br />Othei <br />NO <br />� <br />� <br />� <br />!_ <br />i� <br />— I <br />— —�ONTRACT PRICE OF WORK i <br />O�hnr <br />� ��12 �� <br />MECHANICAL <br />TVPE OF FI%TURE OR ITEM <br />A,'C - an handliny units <br />Force�J air systems <br />Gas piping <br />W aler healer <br />Gas hreplece <br />Gasiange <br />Clalhes dryer <br />Range hood <br />Exhaus��an <br />Heal pump <br />Unii healer <br />Boiler <br />qelrigerelion <br />WoodSlove <br />Other___ _ __ _. _ <br />�� CITV OF EVERETT LOCAL SALES TAX CODE �3 3105 <br />I� I hereby ceriufy thal I have ruad and e�amined Ihis app6cation and know Ihe same to be true end correcL AI� provisions of laws erxl <br />�i nrAinaces governirg this type of work will he comolied wilh whelhor specilieA hemin or not. The g�enting ol a permit does not presume <br />to give authority to violale or cancel Itie pr�,vision of uny other stalo o� lo�al law regulaUng conslruchon or lhe perlormance ol <br />conslruclion. Tha� I em au�horized by IFa owner ol this property tu perirnm cha work loi whir,h applicalion is made and I comply wi�h lhe <br />e C iractors Law 1827 RCW and 29620U WAC. <br />r� <br />/� <br />Y <br />,r, <br />