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i1�r . _ . _r;��� �a:�,'�,' EII:- - -nh: ',cT 'I;r,. ,. .6;� � <br /> f � <br /> PERMIT APPLICATION <br /> C17Y OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425257-8857—www.everettwa.org <br /> , APPLICATIOWS ARE ACCEPTEo FROM 8 qM TO 4 PM <br /> ' SITE ADDRESS PARCEL TAX I.D.# PERMIT N <br /> �.61`���`��: F�/ eH W QQrw ��'74�'t!�xz�cx3� G�U3 C5�' <br /> LEGAL LO1 NO. BLOCN TRACT <br /> DESC. �,"� <br /> p A DR SS CITVIZI� PHOH6 �(�,�r <br /> C��'ecTSd.e� t?i�. F;r.�cta7Q-, C`–�r,��t �1�� �•�Z��li <br /> � TENANT AME CONiACTFORPERMIT PMONE ; <br /> ic:a'e C-c�l��riets z�c.. I4r.r�, i�,r��,�..�t� C�zs�2�i-otoc <br /> , C�ON*RGC70e ADDRESS CITV2IP P�� C'�!7� I <br /> i 1-t2 Me�:'tiq���cc�lS�sie��nS ;;�c�U� �c'.t���-�T. C�Y� �lrr.�Ofo <br /> CONitL UCENSE��R M��T t dtMP �I�1�I <br /> 11SE OF BUILDING HEA7 SOURCE CONTRACT VRICE OF WORK <br /> C� Eleclrit �Gas Other I `����"'� � <br /> .ah;ne�- M����F��crer — — <br /> WORK DESCRIPTION � <br /> rCc4J �r, SiV1S'�Q�� (7i�1Y1C� ! `���G�LSt— <br /> PLUMBINO MECHANICAL <br /> NO. TVPE OF FIXTURE OR�TEM NO. T/PE OF FIXTURE OR ITfiM <br /> , Toi�a1 _ NC—airhandlinpunits <br /> Bethlub Forcetl air systams II <br /> Lavatory(vrash basin) Gas G�Ging <br /> I = Shower — Water heater <br /> Krtchen sink d disposal � Gas 6replace <br /> i Diehwasher Gas range <br /> � Clothes washer Clothes dryer <br /> Laundry tray _ Renge hood <br /> I ^ Sink(servicelbar/mop/elc.) _ Exhausl fan <br /> Back(law preventer Heat pump <br /> Unnal Unit heater <br /> Drinking Fountain _ BoiWr i <br /> I � Fleardra�n _ ReFrigeretian <br /> Grease irap Wootlstove � <br /> � Roofdrains � Other (�..C`�f �-�IEGrC� <br /> � _ QlhO� — <br /> I <br /> CITY OF EVERETT LOCAL 9ALE3 TA7(CODE 19�105 <br /> I hereby ceritify ihat I have read and ezammed this applicallon antl know the same to be true and cnrted. All provisions of lawy antl � <br /> ordinaces governing this type ol wo�k will be complled with whether spedfed herein or rot.The graniing oi a pemut tloes not prosume I <br /> ro give authonty to violale or cance�lhe provision o/eny otner state or local low regWaling con5lrucGon or the pedortnance oi <br /> conswction.That i am authorized Dy the owner of thls propeM�0 0^.rform the work kr which appliwtion is mede and I comply wilh the <br /> State Contractoro Lew 1827 RCW and 296 200 wAC. <br /> ` •- �l�Cr._c.� �- :3..�i-CG: <br /> Signxtweol wne��ContradorlAuthonzedAqem oate <br /> �rz <br /> � <br /> _ , . <br />