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. � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 i <br /> 425•257-8810—FAX 425-257-8857—www.everettwa.org <br /> � APPUCATIONS AflE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.� ERM�T K <br /> � � �� ("��.7 � Q��� � �� -" �J �.l' • � �- <br /> t f�r y,9. ���¢,�fa�c� <br /> L[GA LOTNO. BLOCK TIIACTORSUBDIVIS�ON• � �� <br /> DESC. <br /> O NER � $ CI � 21P ON '. . � X!) = <br /> � / �$��`— �'�� S 7(x+� J�IP��e-,ke� (,�:b�l- <br /> � .�l6N •� us�rH.� 1���' <br /> T ANT NAM CONTACT FOR PERMIT PHONE � O i� <br /> � � yv'�5� 3{Ei�O r <br /> C ,v� � C.C.C_ �,�.�1�'_� e�a� <br /> ,tf� .�{hu�� �fr N .S. . . i'� �3 �'tc�1� ( . '�'�"L�"a1�3 � �i. <br /> CONTA.LIC E1�� ���,` `��yi�� 9�� <br /> •V, J 7� "� <br /> USE OF BUILDINO HEAT SOUHCE ONTHACT PRICE OF WOflK <br /> � �Eloc�dc _Gas_Olhar ���.p�1 C21L J/> �� '� <br /> luc� f�'u� — <br /> WO KDESCRIPTI N �� *>���,�E� �� � - <br /> /'�E��C.�lLIC. � ,., � . <br /> �� --. _ ...�'�" . - <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE ON ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilal _ AIC-air handling unils <br /> �� Dnlhlub _ Forccd eir sysloms <br /> Levn�ory(wash basin) _ Gas p�ping <br /> Sliowor _ Walcr hae�er <br /> ,�,� Kilchen sink 8 disposnl _ Gas lireplace <br /> Dishwashcr _ Gos rango <br /> Clolhes washcr _ Clothos dryor <br /> � ' Watcr hoater __ Rango hood <br /> Sink(scrvico/barlmop/eta) _ Ezheusl lan <br /> �ackllowpreventor _ Hoalpump �� '� ''' <br /> Urinal _ Unit hoalor <br /> Drinkinp Fountaln _ Doiler <br /> Floor druin Ralrigara�ion <br /> � Groasa trap _ Woods�ovo <br /> Hool drains _ Olhor <br /> O�hor ___ — <br /> CI7Y OF EVEpETT LOCAL SALES TA%COUE IS 7105 � <br /> I'horoby cerilily thal I have mad end examined this applicallon end know ihe sama�o be irue and cortecl. All pro4lsions�of laws and <br /> ordinacos govorning lhis typo ol work will be compliod wilh whethar specNied horein or not.The gronling ol e permil doeS�ot presuma <br /> to givo eulhorlly to iolato or canccl it�o provision ol any othar s�atu or local law regula�ing consiruction or Ihe peAortnence ol <br /> construdion.Th em aulhorizod hy�ho ownar ol Ihis proparty lo pe�fortn ihe work lor whlch application Is made and I comply wilh Ihe <br /> Sln�o Contr rs Law 1�7 RCyC�S 298200 WAC. <br /> / - '>-JW7 <br /> ., i� �'/1" � . <br /> a we o Ow or/ oniraclor/ utl e pent ate <br /> � <br /> I/� <br />