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SITE ADDRESS <br />LOTNO. <br />DESC. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98207 <br />425-257-8810 - FAX 425•257-8857 - www.everettwa.org /.,` � �,� <br />���,'I ll" <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM D��OS' OOf <br />BLOCK <br />PARCEL TAX I.D. k <br />2 0 17D02 l <br />raacr oa sueoi�sioN � <br />=v���t1� roht-��Nir� r,o��c�E 2000 �It,w� <br />TENANT NAME CONTACT FOR PERMIT <br />I�A�R na,iM Sns P����}S <br />-- --�nrn�s�--- <br />CONTR.UCENSEI <br />USE OF BUILDING <br />HEATSOURCE <br />_ Eleclric _ Gas _ Olhe� <br />WORKDESCRIPTION ��y,no�ISh '��'M�^'������ <br />����, s�,P;� ���,k►-=�c�+-�w� <br />�f'�Ct L (=G� �� `11�GxT � '�� o�G�'n0 c'� <br />—� PLUMBING <br />N0. I TYPE OF FI%TURE OR IiEM <br />Toilel <br />�a1hWb <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & dreposal <br />Dishwasher <br />Clolhes washer <br />'Neler heater <br />Sink (service/bnr/mop�etc ) <br />BackOow prevenler <br />Urinal <br />Orinking Fountain <br />Floor drain <br />Grease �r2p <br />Roo! drains <br />Other __ <br />.c�� <br />,. �.�, � <br />IIT M <br />'/OS-a, <br />�'i�f,t Y8 20 <br />2c�. � ti�l � 2�-n <br />co✓n I <br />CONTRACT PRICE OF WORK <br />� 67�,o0U.0o <br />NO. I TYPE OF FI%TURE OR ITEM <br />NC — alr bandhng unils <br />Forced eir systems <br />Gas piping <br />Wale� heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust lan <br />Heel pump <br />Ufll� hCB�Bf <br />Boiler <br />Relrigeration <br />Woodstove <br />CITV OF EVEREtt LW:AL SALES TA% CODE IS �105 <br />I hereby certdy Ihat 1 have read and ezanvned Ihrs apphcahon and know lhe eame lo be true end covecl. All pmvisiona ol laws and <br />ordmances goveming this type ol work vnll be complled with whether speciGed herelm m �ot. The grenting of e permil does not presume <br />lo give authonly �o violate or cancel Ihe provision ol any olher slele or local law regulating consWction or Ihe peAormance ol <br />co stru 6on That I am authonzed by �he owner ol lhis property to pedorm Ihe work lor which apphcaUon is made end I comply with lhe <br />S e C Iracto Law 18 27 RCW ai 296 200 WAC <br />r�; �,�C�i�� �"7� rvv� '���.�5 Zs <br />'�L <br />