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_� <br /> - - TIUN ��i ,��k� '�`� <br /> PER11711T APPLICA � L I <br /> CITY OF EVERETT PERMIT SERVIGES <br /> i <br /> 3200 CEDAR STREET, EVERETT,WA 98201 (Y\.��-w� I�v1�j, i �'� <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org � �I, , <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM / � �—/3 I ,� <br /> i <br /> SITE ADD ESS <br /> L I. .# PERMIT# i �s, <br /> � � 7 <br /> �� �c� � c�i CG`.�i76C'nL�CYZ'�I��GYJS7L�OZL-f.CT' � ��,� � ' �' <br /> l !-- �; <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> ' ADDR 55 CITY2IP I PHONE \ <br /> OW NER (�iy�.��'ip,p <br /> ��i�c `��«� �l,-'4'eSiME►.�i� Lf.0 �c��x�S`� EJi `��YCt� � _ � �r <br /> ,_ �•. ^, �- <br /> NANT NAME CONTACT FOR PERMIT PHONE Z;.� [r -�j_�7�Z <br /> � , r-(il-,� i� ;- �: t�� ,�tL <br /> �I' I[=ti'�-��'� e-rnwi� �rlv �v e� i <br /> �YELL LJ ZZ't�i Kf- � � c�7v �d <br /> o ES `�Z` 7 �� <br /> � � �l.rx,�r..�d,ccL �z�-�-�t8% - '_' <br /> �v' 't'D �P� {�orE�-�n� -t�o�-,x 1`�(� �j�^ , � <br /> CO R.L� ENSE i� � 1G"�-'�Z ;f <br /> ���r f���, HEATSOURCE CONTRACTPRICEOFWORK <br /> USE OF BUILDING /�,,� � <br /> , • Elechic _Gas_ Ocher �IC L}� I <br /> F-f�ti�� ,�:�� , - <br /> WORK DE�RIPTION r. . � I• / X � �r�4� �I r1�n-� <br /> J-ILr� � �1L7� ���Ill:'In'+-LL�`-� II.J �X� �711V(�� (.l l�'FTIL'L'-'C <br /> r.' <br /> MECHANICAL I r <br /> PLUMBING y <br /> TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM , <br /> N0. � <br /> A/C-air handling unils I-,; <br /> Toilet Forced air systems <br /> _ Balhtub Gas piping <br /> Lavatory(wash basin) — Water heater <br /> _ Shower — Gas fireplace <br /> Kilchen sink&disposal — �as range � <br /> Dishwasher Clothes dryer w <br /> Clothes washer Range hood <br /> _ Water heater — Exhaust fan �A <br /> Sink(servlce/badmopletc.l — Heat pump I <br /> Backflow preventer Unil heater <br /> Urinal — Boiler <br /> Drinking Fountain — Retrigeration <br /> Floordrain — Woodslove <br /> Grease trap Olher�— <br /> Roof drains — <br /> Other — <br /> ' � � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriti(y that I have read and examined lhis application and know the same to be true anci correct. AIJ provisi�ns of laws and <br /> ordinaces goveming this type of work will be complied with wheth�r specified herein or noL The granting oi a permii does not presume <br /> to give aufhority to violale or cancel the provision oi any other state or local law rec�ulaGng construlic'alion is made a dal comply with lhe <br /> construction.Thal I am authorized by lhe owner oi this property to peAorm lhe work for which app <br /> Stale actors Law 18.27 RCW an�296200 WAC. <br /> � <br /> � �ti � �, (-�-1� <br /> Signature o OwnedContractodAuthorized Agent Date ` /� <br /> � <br /> fC.��� �j'ti� ���TR �...`V. '" 4t �./�� i .� M <br /> �7<L 't1 _ - . . <br />