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iz/�oi=ooe xuc 1i::� rax �53 552 1549 s;exLxnc Rer nans <br />0ooziooa <br />i PERMIT APPLICATION <br />� CITY OF EVERE7T PERMlT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9&201 ��- G� -z- Cc� <br />� 425-257-8810 - FAX a25-257•8&57 - ��nvv+.evereitv✓a.org <br />SITC- ADDRESS <br />1`.illa V•IC..II 'j'�"(r'��'�� <br />LEGnL LOTNO. � <br />OLSC. <br />APPLICATIOIJS ARE ACCEPT6D FR061 B A�d TO 4 Ptd <br />PARCEL TAX I.D, q <br />I C'i)�+'"S �!�"�l �i0'Si(�i/ <br />OLOCK TRACTORSUBDIVISIONp <br />PERh71T 8 <br />I'.:I-,'c�.��.,� 1"=c"<_„I: f; ii..;iz:rn. ��:�`>Ili '���Ih'�1. L. `in,tl�C�:ii'>I� (U! r`C`i�! — <br />' TENANT NA: .E C01lTACT FOR PERL'1T PH017E G�j�.. S 1'/_ ' 1 J 70 <br />I f <br />I`���il�^�i/1<� ��rl'•'.i'i�:�lr. �.i..�: i I�V�i�,.�� ��it'_Vl f"�:/1•1l'<' E.IdAIL ��i�Yl'i0qi9��_iJ/'.,.C. <br />...G—ai7YriiCidF�—'-- ADDH�S �- �L1YPl`Zf tiE - . <br />ilo.t'�,nn�. Plcn�l�f�u� �_.n.l I��>.�'.��� I�u.. I`i'il i�2t�•'.7�.� 5�:�eCi fc-c,,...�,:_�i�.:/ `i:j���lv <br />I corirr�. ucErise n <br />!t�`'Y2.c�c� 'i3 ,il� }:��.;y <br />I USE OF BWLDING I HEAT SOURCE CONTRACT PRICE OF WORK <br />� WOPK U65CRIP710IJ <br />I <br />_ Eleciric _ Gas __ Othc� �� � i i �-� �' _ <br />K' 6, � i c:�.�1 r�_. .� .� I.' • { .. „ ..I <br />,C'::i� .q "t'. .1 � �'C,C:n •� 1 i:sc� '� (' tL �.'a`_ <br />� i��l;..� (,�._.ic, �-l.,'(y f�� i':....�.�.... <br />l <br />PLUh1BINU �I — MECHANICAL <br />fl0. TYPE OF FIXTURE OR ITEtd — I ❑O. I TYPE OF FIXTURE Op ITER1 <br />� <br />2. Toile: <br />Bathtub <br />� I.avalory (wash basin) <br />Snower <br />Kilchen sink 8 �Isposal <br />Dish�vasher <br />Clolhes washer <br />VJatenc�atcr <br />Sink (seivice/7ar/mop/ek.) <br />�atkllOw prCvenier <br />� Udnal <br />Diinking Fauntair. <br />Floor drain <br />, Grease Irap <br />� Rcof drain; <br />Oiher <br />NG – air handling url:. <br />Forced air systerns <br />Gas pipinp <br />VJa!er healer <br />Gas hrepiace <br />Gasianpe <br />Clothos dryer <br />Panpohood <br />.� Fshausllan <br />I-leal pump <br />Unit healcr <br />Boiler <br />Rolrlgeration <br />_ Woodslove <br />_ Olher __ <br />CITY OF EVERET7 LOCAI SALES TAX CODE IS 3105 <br />I hereby cerilify Ihat I have read and examined this a;.ptical�on ar,d know Ihe same Ie be true and co�rect. All provisions cl laws and <br />ordiraces goveining Ihis lypo ol werk will bc cumplied w�th v;hclher specllicd herein or noL The granting ol a penn;t dces not pre;uni� <br />to give authorily to ��ioiate er cancel Ihs provision ol any other state or local law regulaGrp constmction or the pedcimance ol <br />consliuclion. Thal I am aulhorized by Ihe cwnei ol this property lo palerm Il�,e woik tor v:hich appl���calion is matle and I comply vnth Ihe <br />Stale Conlraclors Law 1�.27 HCW �nd 2962001NAQ <br />��� <br />�I <br />